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1366578528
LADANE JERNELL MOSELY
GRAND RAPIDS, MI
NPI
1366578528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MD 05398)
Enumeration Date
2007-02-24
Last Update Date
2007-07-08
Business Address
Ms. LADANE JERNELL MOSELY MS OTRL
2900 CHARLEVOIX DR SE SUITE 200
GRAND RAPIDS, MI 49546-7085
Phone number: 800-684-8049
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Mailing Address
Ms. LADANE JERNELL MOSELY MS OTRL
5505 HIGHGATE DR
BALTIMORE, MD 21215-4715
Phone number: 443-520-2273
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