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1528382728
ADAM WAYNE MOORE
INDIANAPOLIS, IN
NPI
1528382728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001519A)
Enumeration Date
2010-03-17
Last Update Date
2010-03-17
Business Address
-- ADAM WAYNE MOORE LAT, ATC
5949 W RAYMOND ST
INDIANAPOLIS, IN 46241-4348
Phone number: 317-247-1579
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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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