MICKEY MOORE

CHANDLER, AZ
NPI1407278187
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AZ  0264-P)
Enumeration Date2014-01-14
Last Update Date2014-01-14
Business Address
-- MICKEY MOORE MSOT
3203 N SANTA ANNA ST
CHANDLER, AZ 85224-1214
Phone number: 480-748-3519
Mailing Address
-- MICKEY MOORE MSOT
3203 N SANTA ANNA ST
CHANDLER, AZ 85224-1214
Phone number: 480-748-3519
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