KIMBERLY MOORE

GREEN BAY, WI
NPI1477301604
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  3155-39)
Enumeration Date2024-05-13
Last Update Date2024-05-13
Business Address
KIMBERLY MOORE LAT
1970 S RIDGE RD
GREEN BAY, WI 54304-4125
Phone number: 920-430-4888
Mailing Address
KIMBERLY MOORE LAT
310 MADISON WAY APT 5
SHAWANO, WI 54166-3872
Phone number: 210-379-0999
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