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1730635046
SALLY MOORE
JEFFERSON CITY, MO
NPI
1730635046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2004022996)
Enumeration Date
2016-08-27
Last Update Date
2016-08-27
Business Address
-- SALLY MOORE PT
1739 ELM CT
JEFFERSON CITY, MO 65101-4303
Phone number: 573-681-0445
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Mailing Address
-- SALLY MOORE PT
127 DEL MAR DR
JEFFERSON CITY, MO 65109-6146
Phone number: 573-424-0566
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