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1720080492
TERRY J MOORE
APPLETON, WI
NPI
1720080492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 5573)
Enumeration Date
2005-08-12
Last Update Date
2008-07-18
Business Address
Mr. TERRY J MOORE PT
W3124 VAN ROY RD
APPLETON, WI 54915-3982
Phone number: 920-968-1010
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Mailing Address
Mr. TERRY J MOORE PT
W3124 VAN ROY RD
APPLETON, WI 54915-3982
Phone number: 920-968-1010
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