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1205974110
PEGGY KAY MOORE
MILWAUKEE, WI
NPI
1205974110
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Other Name
PEGGY KAY DISTAD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 3492)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
-- PEGGY KAY MOORE OT
2906 S 20TH ST LOWER LEVEL
MILWAUKEE, WI 53215-3732
Phone number: 414-385-6265
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Mailing Address
-- PEGGY KAY MOORE OT
2906 S 20TH ST LOWER LEVEL
MILWAUKEE, WI 53215-3732
Phone number: 414-385-6265
Copy
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