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1124336805
KOURTNIE LAINE MOORE
GREENSBURG, PA
NPI
1124336805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT004732)
Enumeration Date
2010-09-16
Last Update Date
2010-09-16
Business Address
-- KOURTNIE LAINE MOORE ATC
680 PELLIS RD
GREENSBURG, PA 15601-4453
Phone number: 724-689-1970
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Mailing Address
-- KOURTNIE LAINE MOORE ATC
680 PELLIS RD
GREENSBURG, PA 15601-4453
Phone number: 724-689-1970
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