Jerry Moore Sr.
Jerry Moore Sr. is a Licensed Practical Nurse in Springfield, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2008.
- Licensed in
- MA
- In the registry since
- 2008
Practice location Address checks out
417 Liberty StSpringfield, MA 01104-3736
Phone: (413) 747-0705
Fax: (413) 732-7075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 33527 (MA) |
|---|
Record details
| NPI number | 1033368790 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 17, 2008 |
| Last updated in NPPES | September 17, 2008 |
| Mailing address | 417 Liberty St, Springfield, MA 01104-3736 |
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