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1942260989
KIRBY L MOORE
MARIETTA, OH
NPI
1942260989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: OH AT-000109)
Enumeration Date
2006-03-24
Last Update Date
2007-07-08
Business Address
MR. KIRBY L MOORE B.S., A.T.,C.
160 GROSS ST FRONTIER SHOPPING PLAZA
MARIETTA, OH 45750-2031
Phone number: 740-374-3200
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Mailing Address
MR. KIRBY L MOORE B.S., A.T.,C.
41197 S DUDLEY RD W
CALDWELL, OH 43724-9259
Phone number: 740-783-2034
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