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Individual

BETHANY D MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
112 N 7TH ST, CHAMBERSBURG, PA 17201-1720
(717) 267-3000
Mailing address
5952 GABRIELLE LN, CHAMBERSBURG, PA 17202-7369
(717) 446-5451

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
374J00000X
PA
Enumeration date
05/25/2022
Last updated
05/25/2022
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