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1174014450
JERICA MOORE
JOHNSON CITY, TN
NPI
1174014450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: TN 2009)
Enumeration Date
2018-05-23
Last Update Date
2018-05-23
Business Address
JERICA MOORE MA, ATC
1041 HAMILTION PLACE DR.
JOHNSON CITY, TN 37604
Phone number: 423-707-2509
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Mailing Address
JERICA MOORE MA, ATC
421 HIGHLAND AVE APT B
JOHNSON CITY, TN 37604-6847
Phone number: 863-381-8342
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