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1346501822
CODY MICHAEL MOORE
IRVINE, CA
NPI
1346501822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 11486)
Enumeration Date
2012-05-31
Last Update Date
2012-05-31
Business Address
-- CODY MICHAEL MOORE OT
15775 LAGUNA CANYON RD STE 110
IRVINE, CA 92618-3189
Phone number: 949-333-3833
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Mailing Address
-- CODY MICHAEL MOORE OT
45 PALATINE APPT 440
IRVINE, CA 92612-7628
Phone number:
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