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Individual

TERRI MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8863 NC HIGHWAY 65, STOKESDALE, NC 27357-8465
(336) 949-9133
(336) 949-9133
Mailing address
8863 NC HIGHWAY 65, STOKESDALE, NC 27357-8465
(336) 949-9133
(336) 949-9133

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
CHK4880
NC
347C00000X
Private Vehicle
DBN3742
NC

Other

Enumeration date
03/03/2015
Last updated
03/03/2015
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