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Individual

ANTOINETTE A MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1570 BALTIMORE PIKE, LINCOLN UNIVERSITY, PA 19352-9141
(484) 365-7615
Mailing address
475 ANDERSON DR, WILMINGTON, DE 19801-5763
(302) 242-3894

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
11/14/2018
Last updated
07/31/2019
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