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Individual

MR. ROBERT MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS-ATC

Contact information

Practice address
11600 MARY CATHERINE DR, CLINTON, MD 20735-1040
(301) 292-6533
Mailing address
11600 MARY CATHERINE DR, CLINTON, MD 20735-1040
(301) 292-6533

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
04/27/2015
Last updated
04/27/2015
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