Individual
ERIN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55455-0376
(612) 625-2850
Mailing address
516 15TH AVE SE, ROOM 190, MINNEAPOLIS, MN 55455-0130
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2334
MN
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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