JACOB MOORE

GREENVILLE, NC
NPI1821512179
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC  1166)
Enumeration Date2017-07-28
Last Update Date2017-07-28
Business Address
JACOB MOORE ATC LAT
116 WARD SPORTS MEDICINE BUILDING
GREENVILLE, NC 27858
Phone number: 252-737-2634
Mailing Address
JACOB MOORE ATC LAT
316 PRINCE RD
GREENVILLE, NC 27858-4941
Phone number: 252-737-2634
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