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1518256882
AVIE B. MOORE
PUEBLO, CO
NPI
1518256882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO 234835)
Enumeration Date
2011-04-07
Last Update Date
2011-04-07
Business Address
Mrs. AVIE B. MOORE COTA
1071 EAGLERIDGE BLVD.
PUEBLO, CO 81008
Phone number: 719-583-0832
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Mailing Address
Mrs. AVIE B. MOORE COTA
8540 SCARBOROUGH DR. SUITE 200
COLO SPRINGS, CO 80920
Phone number: 719-630-7500
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