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MRS. CHERMAL RONDELL MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
1017 W BEACON ST, PHILADELPHIA, MS 39350-3218
(769) 200-0730
Mailing address
2240 TALLABOGUE RD, FOREST, MS 39074-8592
(601) 826-5561

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
902980
MS

Other

Enumeration date
10/10/2018
Last updated
10/10/2018
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