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1558539494
KELLY MOORE
SALT LAKE CITY, UT
NPI
1558539494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: UT 5673514-4201)
Enumeration Date
2008-02-13
Last Update Date
2008-02-13
Business Address
-- KELLY MOORE
1952 E 7000 S
SALT LAKE CITY, UT 84121-6877
Phone number: 801-942-3311
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Mailing Address
-- KELLY MOORE
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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