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1063859031
JESSICA DIANE MOSS
GAFFNEY, SC
NPI
1063859031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 2993)
Enumeration Date
2013-05-30
Last Update Date
2013-05-30
Business Address
Miss JESSICA DIANE MOSS COTA
110 FORESTDALE DR
GAFFNEY, SC 29341-2625
Phone number: 864-706-6729
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Mailing Address
Miss JESSICA DIANE MOSS COTA
110 FORESTDALE DR
GAFFNEY, SC 29341-2625
Phone number: 864-706-6729
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