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1366955221
DEATRICE KIERAH MOSLEY
CHARLOTTE, NC
NPI
1366955221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 3715)
Enumeration Date
2017-11-14
Last Update Date
2017-11-14
Business Address
DEATRICE KIERAH MOSLEY COTA/L
501 FARMHURST DR
CHARLOTTE, NC 28217-4924
Phone number: 704-726-3868
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Mailing Address
DEATRICE KIERAH MOSLEY COTA/L
501 FARMHURST DR
CHARLOTTE, NC 28217-4924
Phone number: 704-726-3868
Copy
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