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Individual
DAVID M MOORE JR.
Active
Individual
DAVID M MOORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
2305205081
VA
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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