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1558619429
ALLENE LYNN MOORE
SAN DIEGO, CA
NPI
1558619429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 2166)
Enumeration Date
2012-08-26
Last Update Date
2012-08-26
Business Address
Ms. ALLENE LYNN MOORE COTA/L
3760 CONVOY ST STE 204
SAN DIEGO, CA 92111-3744
Phone number: 530-219-8097
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Mailing Address
Ms. ALLENE LYNN MOORE COTA/L
3760 CONVOY ST STE 204
SAN DIEGO, CA 92111-3744
Phone number: 530-219-8097
Copy
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