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1417976754
LISA KATHLEEN MOORE
RANCHO CUCAMONGA, CA
NPI
1417976754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA AT2345)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
Ms. LISA KATHLEEN MOORE PTA
9116 FOOTHILL BLVD STE 102
RANCHO CUCAMONGA, CA 91730-6564
Phone number: 909-941-7177
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Mailing Address
Ms. LISA KATHLEEN MOORE PTA
11206 ROSARITA DR
LOMA LINDA, CA 92354-3210
Phone number: 909-435-1753
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