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Individual

GWENDOLYN MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPH, RN, CHC

Contact information

Practice address
2881 SQUIRE LN, MOBILE, AL 36695-4219
(916) 769-9368
Mailing address
312 SCHILLINGER RD S STE T, MOBILE, AL 36608-5032
(251) 377-9760

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-160774
AL
171400000X
Health & Wellness Coach

Other

Enumeration date
06/18/2024
Last updated
06/18/2024
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