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Individual

DEBORAH MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN, CCM

Contact information

Practice address
62079 AULT RD, BELMONT, OH 43718-9791
(740) 312-5944
(855) 643-0484
Mailing address
62079 AULT RD, BELMONT, OH 43718-9791
(740) 312-5944
(855) 643-0484

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
44444
WV
163WC0400X
Case Management Registered Nurse
Primary
RN236949
OH

Other

Enumeration date
07/28/2014
Last updated
07/28/2014
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