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1023402278
ANNIE LEE MOORE
AMES, IA
NPI
1023402278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-03-26
Last Update Date
2015-03-26
Business Address
-- ANNIE LEE MOORE
4611 MORTENSEN RD APT 310
AMES, IA 50014-6227
Phone number: 641-895-9929
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Mailing Address
-- ANNIE LEE MOORE
4611 MORTENSEN RD APT 310
AMES, IA 50014-6227
Phone number: 641-895-9929
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