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1578533790
JEFFREY GLENN MOORE
UNIVERSITY, MS
NPI
1578533790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS 0087)
Enumeration Date
2006-01-23
Last Update Date
2007-07-08
Business Address
Mr. JEFFREY GLENN MOORE ATC
ROOM 118 FIELDHOUSE ALL AMERICAN DRIVE
UNIVERSITY, MS 38677
Phone number: 662-915-7536
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Mailing Address
Mr. JEFFREY GLENN MOORE ATC
181 HIGHWAY 334
OXFORD, MS 38655-9402
Phone number: 662-281-8314
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