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1275182321
MICHAEL LEE MOORE
HUNTINGTON, WV
NPI
1275182321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV C1035)
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
MICHAEL LEE MOORE COTA
1720 17TH ST
HUNTINGTON, WV 25701-4235
Phone number: 304-529-6031
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Mailing Address
MICHAEL LEE MOORE COTA
1720 17TH ST
HUNTINGTON, WV 25701-4235
Phone number: 304-529-6031
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