DARA E MOAK

BROOKHAVEN, MS
NPI1083053763
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS  AT0441)
Enumeration Date2013-06-17
Last Update Date2013-06-17
Business Address
-- DARA E MOAK ATC
507 HIGHWAY 51 N
BROOKHAVEN, MS 39601-2334
Phone number: 601-835-0842
Mailing Address
-- DARA E MOAK ATC
2625 HEUCKS RETREAT RD NE
WESSON, MS 39191-9467
Phone number:
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