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1144899428
ANTHONY JUSTIN MOODY
OMAHA, NE
NPI
1144899428
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: NE 2096)
Enumeration Date
2021-06-22
Last Update Date
2021-06-22
Business Address
ANTHONY JUSTIN MOODY DC
14135 Q ST
OMAHA, NE 68137-2600
Phone number: 402-881-0883
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Mailing Address
ANTHONY JUSTIN MOODY DC
2920 S 187TH PLZ APT 413
OMAHA, NE 68130-3003
Phone number: 402-415-3661
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