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1184187569
JESSICA L MOORE
BEAVERTON, OR
NPI
1184187569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2019-04-11
Last Update Date
2019-04-11
Business Address
JESSICA L MOORE DPT
735 SW 158TH AVE STE 160
BEAVERTON, OR 97006-4915
Phone number: 503-597-0035
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Mailing Address
JESSICA L MOORE DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2222
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