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1891149563
AMANDA MOORE
DECATUR, IL
NPI
1891149563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.022022)
Enumeration Date
2016-04-19
Last Update Date
2016-04-19
Business Address
-- AMANDA MOORE
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-2600
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Mailing Address
-- AMANDA MOORE
3103 N UNIVERSITY AVE
DECATUR, IL 62526-1344
Phone number:
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