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1831743699
JUSTIN MOORE
NORTH LITTLE ROCK, AR
NPI
1831743699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 4299)
Enumeration Date
2019-07-30
Last Update Date
2019-07-30
Business Address
MR. JUSTIN MOORE PTA
3470 LANDERS RD
NORTH LITTLE ROCK, AR 72117
Phone number: 501-945-0661
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Mailing Address
MR. JUSTIN MOORE PTA
298 COLUMBIA 454
MAGNOLIA, AR 71753
Phone number: 870-510-0171
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