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Individual

MEGAN ELIZABETH MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 CUMBERLAND SQ, LEBANON, TN 37087-3408
(615) 257-9507
Mailing address
217 WILDWOOD AVE, LEBANON, TN 37087-3439

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2401
TN

Other

Enumeration date
01/14/2019
Last updated
01/14/2019
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