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1447692611
PAULA CLINITA MOORE
RICHMOND, VA
NPI
1447692611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126001744)
Enumeration Date
2013-07-29
Last Update Date
2013-07-29
Business Address
Ms. PAULA CLINITA MOORE ATC, LAT
5801 BREMO RD
RICHMOND, VA 23226-1907
Phone number: 804-285-2011
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Mailing Address
Ms. PAULA CLINITA MOORE ATC, LAT
700 EVERETT ST #1206
RICHMOND, VA 23224-4195
Phone number: 910-538-8410
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