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1467198895
JASON MOORE
FORT WORTH, TX
NPI
1467198895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-05-09
Last Update Date
2022-05-09
Business Address
JASON MOORE
5701 SHELTON ST
FORT WORTH, TX 76112-3929
Phone number: 817-815-4086
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Mailing Address
JASON MOORE
1612 MILLEDGE RD
FORT WORTH, TX 76120-1800
Phone number: 713-705-5141
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