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1174095244
ASHLEY MOORE
AUSTELL, GA
NPI
1174095244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA002657)
Enumeration Date
2018-12-29
Last Update Date
2019-12-12
Business Address
ASHLEY MOORE
2000 E WEST CONNECTOR
AUSTELL, GA 30106-1194
Phone number: 770-819-7003
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Mailing Address
ASHLEY MOORE
4927 BROWN RD
POWDER SPRINGS, GA 30127-3165
Phone number:
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