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Ms. Dale J Moore
Private Vehicle in Canon City, Colorado
NPI 1164118832

Dale J Moore is a Private Vehicle based in Canon City, CO. Dale J Moore practices in Canon City, CO. The NPI Number for Dale J Moore is 1164118832 and holds a License No. 140620303 (Colorado).

The current practice location address for Dale J Moore is 2867 Central Ave, Canon City, CO and can be reached out via phone at 719-571-0515.

Location: 2867 Central Ave, Canon City, CO, 81212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164118832
Provider Name
Dale J Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
2867 Central Ave, Canon City, CO, 81212
Phone Number
719-571-0515
Fax Number
Provider Enumeration Date
04/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2867 Central Ave
City
Canon City
State
Colorado
Zip
81212-9192
Phone Number
719-571-0515
Fax Number
person
Provider Business Mailing Address Details
Address
2867 Central Ave
City
Canon City
State
Colorado
Zip
81212-9192
Phone Number
719-571-0515
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
140620303 (Colorado)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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