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Individual

MRS. BOBBIE LEE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
3115 N MILLBROOK AVE, FRESNO, CA 93703-1425
(559) 600-2382
Mailing address
3049 LOVE ST, SELMA, CA 93662-4135
(559) 572-4664

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
685242
CA

Other

Enumeration date
04/11/2017
Last updated
12/09/2024
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