Individual
MS. KASEY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6248 103RD ST, JACKSONVILLE, FL 32210-7733
(904) 573-0046
Mailing address
6248 103RD ST, JACKSONVILLE, FL 32210-7733
(904) 573-0046
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4160
FL
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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