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1588252134
LORI LYNN MOORE
BROKEN ARROW, OK
NPI
1588252134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 2226)
Enumeration Date
2021-01-08
Last Update Date
2021-01-08
Business Address
Mrs. LORI LYNN MOORE COTA/L
2033 W HOUSTON ST
BROKEN ARROW, OK 74012-8304
Phone number: 918-994-7799
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Mailing Address
Mrs. LORI LYNN MOORE COTA/L
2033 W HOUSTON ST
BROKEN ARROW, OK 74012-8304
Phone number: 918-994-7799
Copy
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