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1285618702
RICHARD SCOTT MOONEYHAM
CLOVIS, CA
NPI
1285618702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT22252)
Enumeration Date
2005-11-30
Last Update Date
2018-09-13
Business Address
RICHARD SCOTT MOONEYHAM PT
1823 SHAW AVE STE 101
CLOVIS, CA 93611-4065
Phone number: 559-298-9120
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Mailing Address
RICHARD SCOTT MOONEYHAM PT
1823 SHAW AVE STE 101
CLOVIS, CA 93611-4064
Phone number: 559-298-9120
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