MICHAEL MOORE

POWELL, WY
NPI1750747564
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2016-01-08
Last Update Date2016-01-08
Business Address
-- MICHAEL MOORE
220 PEBBLE CREEK RD
POWELL, WY 82435-2271
Phone number: 307-254-3560
Mailing Address
-- MICHAEL MOORE
220 PEBBLE CREEK RD
POWELL, WY 82435-2271
Phone number: 307-254-3560
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