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1780210393
JONATHAN MOORE
LOS ANGELES, CA
NPI
1780210393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 11483)
Enumeration Date
2020-03-15
Last Update Date
2020-03-15
Business Address
Dr. JONATHAN MOORE DPT
5154 W SUNSET BLVD
LOS ANGELES, CA 90027-5708
Phone number: 865-765-0707
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Mailing Address
Dr. JONATHAN MOORE DPT
905 20TH AVE S APT 905
NASHVILLE, TN 37203-2668
Phone number:
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