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1477220036
LANEY MOORE
BRYANT, AR
NPI
1477220036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A1655)
Enumeration Date
2021-08-23
Last Update Date
2021-08-23
Business Address
LANEY MOORE COTA/L
4818 AR-5
BRYANT, AR 72022
Phone number: 870-484-2555
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Mailing Address
LANEY MOORE COTA/L
1903 N ROCK ST
SHERIDAN, AR 72150-7759
Phone number: 870-484-2555
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