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1174112510
TYLER SCOTT MOOS
WINSTON SALEM, NC
NPI
1174112510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC LAT-4740)
Enumeration Date
2021-01-11
Last Update Date
2021-01-11
Business Address
TYLER SCOTT MOOS ATC
416 GREEN ARBOR LN
WINSTON SALEM, NC 27103-5547
Phone number: 303-902-8358
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Mailing Address
TYLER SCOTT MOOS ATC
416 GREEN ARBOR LN
WINSTON SALEM, NC 27103-5547
Phone number: 303-902-8358
Copy
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