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1255729232
SHANESA MOFFETT
DALLAS, TX
NPI
1255729232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 116331)
Enumeration Date
2014-12-29
Last Update Date
2014-12-29
Business Address
-- SHANESA MOFFETT
4200 LIVE OAK ST
DALLAS, TX 75204-6733
Phone number: 214-821-0050
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Mailing Address
-- SHANESA MOFFETT
1500 PRESTON RD APT 2007
PLANO, TX 75093-5131
Phone number: 972-836-5688
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