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KOURTNIE LAINE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
680 PELLIS RD, GREENSBURG, PA 15601-4453
(724) 689-1970
Mailing address
680 PELLIS RD, GREENSBURG, PA 15601-4453
(724) 689-1970

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004732
PA

Other

Enumeration date
09/16/2010
Last updated
09/16/2010
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