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1346380698
KRISTEN KOSOLA MOORE
LAGRANGE, GA
NPI
1346380698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA 006298)
Enumeration Date
2007-02-07
Last Update Date
2020-06-08
Business Address
KRISTEN KOSOLA MOORE
208 SMITH ST
LAGRANGE, GA 30240-2755
Phone number: 706-845-7002
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Mailing Address
KRISTEN KOSOLA MOORE
PO BOX 370
FORTSON, GA 31808-0370
Phone number:
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