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1558339440
JONATHAN E MOORE
SOMERSET, KY
NPI
1558339440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist Foot & Ankle Surgery
(Licence: KY 00269)
Enumeration Date
2006-03-08
Last Update Date
2007-10-29
Business Address
DR. JONATHAN E MOORE DPM
117 TRADEPARK DR
SOMERSET, KY 42503-3428
Phone number: 606-679-2773
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Mailing Address
DR. JONATHAN E MOORE DPM
117 TRADEPARK DR
SOMERSET, KY 42503-3428
Phone number: 606-679-2773
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