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1700398625
LESHANTE A. MOORE
NEWPORT NEWS, VA
NPI
1700398625
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Former Name
LESHANTE A. FAIRELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305211611)
Enumeration Date
2017-11-01
Last Update Date
2020-11-19
Business Address
LESHANTE A. MOORE PT, DPT
612 DENBIGH BLVD
NEWPORT NEWS, VA 23608-4416
Phone number: 757-874-0032
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Mailing Address
LESHANTE A. MOORE PT, DPT
PO BOX 69030
BALTIMORE, MD 21264-9030
Phone number: 757-873-2302
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