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1194115816
JUSTIN MOODY
AUBURN, AL
NPI
1194115816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 1625)
Enumeration Date
2015-02-02
Last Update Date
2015-02-02
Business Address
-- JUSTIN MOODY
560 DEVALL DR
AUBURN, AL 36832-5813
Phone number: 205-272-0841
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Mailing Address
-- JUSTIN MOODY
270 COUNTY ROAD 428
DOUBLE SPRINGS, AL 35553-4943
Phone number: 205-272-0841
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