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1023683760
MICHAEL M MOORE
TAHLEQUAH, OK
NPI
1023683760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 6041)
Enumeration Date
2021-05-25
Last Update Date
2021-09-21
Business Address
MICHAEL M MOORE DPT
2021 MAHANEY AVE
TAHLEQUAH, OK 74464-5794
Phone number: 918-458-5115
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Mailing Address
MICHAEL M MOORE DPT
1519 NORTHPARK DR
TAHLEQUAH, OK 74464-6240
Phone number: 405-802-2086
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