ADAM WAYNE MOORE

INDIANAPOLIS, IN
NPI1528382728
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001519A)
Enumeration Date2010-03-17
Last Update Date2010-03-17
Business Address
-- ADAM WAYNE MOORE LAT, ATC
5949 W RAYMOND ST
INDIANAPOLIS, IN 46241-4348
Phone number: 317-247-1579
Mailing Address
-- ADAM WAYNE MOORE LAT, ATC
13249 KOMATITE WAY UNIT 500
FISHERS, IN 46038-5441
Phone number: 812-236-5250
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