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Individual

ANNE MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10540 DOTY RD, PICKERINGTON, OH 43147-9448
(614) 837-2640
Mailing address
6585 YORK RD SW, PATASKALA, OH 43062-8462
(614) 264-7375

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
231011226901
OH
05
2421043
OH
Enumeration date
05/03/2007
Last updated
07/09/2007
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