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1013362755
ANDREA NOELL MOORE
SAINT LOUIS, MO
NPI
1013362755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MO 2015041600)
Enumeration Date
2016-05-02
Last Update Date
2016-05-02
Business Address
-- ANDREA NOELL MOORE
11960 WESTLINE INDUSTRIAL DR SUITE 201
SAINT LOUIS, MO 63146-3209
Phone number: 314-819-0480
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Mailing Address
-- ANDREA NOELL MOORE
216 TANNER DR
WENTZVILLE, MO 63385-4635
Phone number: 636-373-0118
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