SAMUEL B MOORE

ROBBINSDALE, MN
NPI1346594793
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN  2403)
Enumeration Date2012-11-07
Last Update Date2012-11-07
Business Address
Mr. SAMUEL B MOORE ATC
4337 DREW AVE N
ROBBINSDALE, MN 55422
Phone number: 651-373-9286
Mailing Address
Mr. SAMUEL B MOORE ATC
4337 DREW AVE N
ROBBINSDALE, MN 55422-1550
Phone number:
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