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1689844789
AUDRA MOORE
FAIRMONT, WV
NPI
1689844789
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Former Name
AUDRA GALLUCCI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WV 2037)
Enumeration Date
2008-03-04
Last Update Date
2008-03-04
Business Address
-- AUDRA MOORE PT
200 GASTON AVE
FAIRMONT, WV 26554-2739
Phone number: 203-624-6554
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Mailing Address
-- AUDRA MOORE PT
200 GASTON AVE
FAIRMONT, WV 26554-2739
Phone number: 203-624-6554
Copy
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