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1639106420
JENNIFER RENEE MOORE
JACKSONVILLE, IL
NPI
1639106420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.001261)
Enumeration Date
2006-06-27
Last Update Date
2007-07-08
Business Address
Mrs. JENNIFER RENEE MOORE ATC, LMT
209 E PENNSYLVANIA AVE
JACKSONVILLE, IL 62650-3435
Phone number: 217-243-3926
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Mailing Address
Mrs. JENNIFER RENEE MOORE ATC, LMT
209 E PENNSYLVANIA AVE
JACKSONVILLE, IL 62650-3435
Phone number: 217-243-3926
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