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1104270230
JESSICA NICOLE MOORE
HUNTSVILLE, AL
NPI
1104270230
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Former Name
JESSICA NICOLE GRIGGS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AL 3360)
Enumeration Date
2016-04-14
Last Update Date
2016-04-14
Business Address
-- JESSICA NICOLE MOORE COTA
500 MARKAVIEW RD NW
HUNTSVILLE, AL 35805-3652
Phone number: 256-533-8477
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Mailing Address
-- JESSICA NICOLE MOORE COTA
147 HAZEL TRCE
HAZEL GREEN, AL 35750-8887
Phone number: 256-665-5619
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