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1255744090
KELLIE MOORE
ATHENS, GA
NPI
1255744090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT011472)
Enumeration Date
2014-06-10
Last Update Date
2014-06-10
Business Address
Mrs. KELLIE MOORE DPT
2319 PRINCE AVE
ATHENS, GA 30606-6030
Phone number: 706-548-7300
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Mailing Address
Mrs. KELLIE MOORE DPT
2319 PRINCE AVE
ATHENS, GA 30606-6030
Phone number: 706-548-7300
Copy
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