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1427062314
ARCHIE LEE MOORE
SAN JOSE, CA
NPI
1427062314
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 23837)
Enumeration Date
2006-07-28
Last Update Date
2009-08-19
Business Address
Mr. ARCHIE LEE MOORE MPT
6958 GRANDWOOD WAY
SAN JOSE, CA 95120
Phone number: 408-927-7811
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Mailing Address
Mr. ARCHIE LEE MOORE MPT
6958 GRANDWOOD WAY
SAN JOSE, CA 95120
Phone number: 408-927-7811
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