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1124590823
SARA MOULDER
LEXINGTON, KY
NPI
1124590823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY 175083)
Enumeration Date
2018-12-19
Last Update Date
2018-12-19
Business Address
SARA MOULDER OTR/L
2050 VERSAILLES RD
LEXINGTON, KY 40504-1405
Phone number: 859-254-5701
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Mailing Address
SARA MOULDER OTR/L
4192 PALMETTO DR
LEXINGTON, KY 40513-1303
Phone number: 859-684-5311
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