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1427673938
LISA MOORE
OMAHA, NE
NPI
1427673938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NE 329)
Enumeration Date
2020-06-10
Last Update Date
2020-06-10
Business Address
MISS LISA MOORE ATC
1010 S 144TH ST
OMAHA, NE 68154-2801
Phone number: 402-715-1515
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Mailing Address
MISS LISA MOORE ATC
1010 S 144TH ST
OMAHA, NE 68154-2801
Phone number: 402-715-1515
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