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1376956854
JENICA MOORE
EMPORIA, KS
NPI
1376956854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KS 11-05445)
Enumeration Date
2014-06-03
Last Update Date
2016-08-10
Business Address
-- JENICA MOORE
2812 W 12TH AVE
EMPORIA, KS 66801-6202
Phone number: 620-208-7878
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Mailing Address
-- JENICA MOORE
2812 W 12TH AVE
EMPORIA, KS 66801-6202
Phone number: 620-208-7878
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