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1093158578
MOODY MANKERIOUS
FORT WORTH, TX
NPI
1093158578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: TX 2204)
Enumeration Date
2013-04-15
Last Update Date
2022-05-25
Business Address
Dr. MOODY MANKERIOUS DPM
8751 CAMP BOWIE WEST BLVD STE 123
FORT WORTH, TX 76116-6100
Phone number: 817-494-0566
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Mailing Address
Dr. MOODY MANKERIOUS DPM
8751 CAMP BOWIE WEST BLVD STE 123
FORT WORTH, TX 76116-6100
Phone number: 817-494-0566
Copy
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