Al-Mousa became a regular starter for Al-Fateh during the 2016—17 season where he played 29 matches throughout all competitions | Nooh Al-Mousa started his career with Al-Fateh where he progressed through the youth ranks |
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In 2018, as part of a deal between the and , Al-Mousa joined Spanish club on a six-month loan | On April 27, 2018, Al-Mousa signed a 4-year contract with Al-Ahli |
He made his debut for the first team during the 2012—13 season in the match against.
28Al-Mousa was called up for the and appeared in one match, the final group stage match against | He was called up for the and started all 3 matches as the Falcons exited the competition at the group stage |
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He officially started his journey against on 10 November 2017 | He won the league with Al-Fateh during his first season as a first-team player |