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1477987139
KYLE PATRICK MOORE
WILKES BARRE, PA
NPI
1477987139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT005261)
Enumeration Date
2013-08-29
Last Update Date
2014-08-01
Business Address
Mr. KYLE PATRICK MOORE MS, ATC, LAT, CSCS
40 COAL ST
WILKES BARRE, PA 18702-5236
Phone number: 570-270-6432
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Mailing Address
Mr. KYLE PATRICK MOORE MS, ATC, LAT, CSCS
13 CORNELL RD
HUNLOCK CREEK, PA 18621-4000
Phone number: 610-223-3755
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