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Samuel Moore, ATC
NPI 1346594793 · on the registry since 2012 · sole proprietor
Practice
- Address
- 4337 Drew Ave N
Robbinsdale, MN 55422 - Phone
- (651) 373-9286
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-11-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota