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1851723936
MICHAEL LEE MOORE
CINCINNATI, OH
NPI
1851723936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: OH AT 000110)
Enumeration Date
2013-07-31
Last Update Date
2013-07-31
Business Address
MR. MICHAEL LEE MOORE ATC
5445 HOKEL LN
CINCINNATI, OH 45230-1137
Phone number: 513-623-7799
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Mailing Address
MR. MICHAEL LEE MOORE ATC
5445 HOKEL LN
CINCINNATI, OH 45230-1137
Phone number: 513-623-7799
Copy
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