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1588812325
MARY MOORE
LOUISVILLE, KY
NPI
1588812325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY R3491)
Enumeration Date
2008-09-05
Last Update Date
2008-09-05
Business Address
MS. MARY MOORE OT
6801 COPRA LN
LOUISVILLE, KY 40219-2156
Phone number: 812-641-7814
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Mailing Address
MS. MARY MOORE OT
6801 COPRA LN
LOUISVILLE, KY 40219-2156
Phone number: 812-641-7814
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