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1194987529
KELVIN MOORE
RIDGELAND, MS
NPI
1194987529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MS OT2229)
Enumeration Date
2008-06-26
Last Update Date
2022-08-25
Business Address
KELVIN MOORE OT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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Mailing Address
KELVIN MOORE OT
PO BOX 22
SENATOBIA, MS 38668-0022
Phone number:
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