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1619177938
LISA MOORE
TOLEDO, OH
NPI
1619177938
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Professional Name
LISA MACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OH OT5068)
Enumeration Date
2007-07-24
Last Update Date
2007-07-24
Business Address
-- LISA MOORE OT
3949 SUNFOREST CT
TOLEDO, OH 43623-4473
Phone number: 419-474-3399
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Mailing Address
-- LISA MOORE OT
2827 JODORE AVE
TOLEDO, OH 43606-2741
Phone number: 419-461-0710
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