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1285171603
ANTHONY MOON
KALAMAZOO, MI
NPI
1285171603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601001211)
Enumeration Date
2017-01-23
Last Update Date
2017-01-23
Business Address
-- ANTHONY MOON ATC
36460 22ND ST
KALAMAZOO, MI 49009-9200
Phone number: 269-547-9560
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Mailing Address
-- ANTHONY MOON ATC
36460 22ND ST
KALAMAZOO, MI 49009-9200
Phone number:
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