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1235671850
MICHELLE RAEJEAN MOE
EL PASO, TX
NPI
1235671850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: TX AT1882)
Enumeration Date
2016-11-14
Last Update Date
2016-11-14
Business Address
MICHELLE RAEJEAN MOE LAT, ATC
12101 PELLICANO DR
EL PASO, TX 79936-6862
Phone number: 915-937-3105
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Mailing Address
MICHELLE RAEJEAN MOE LAT, ATC
12101 PELLICANO DR
EL PASO, TX 79936-6862
Phone number: 915-937-3105
Copy
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