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1659570273
GLENN F. MOBLEY
SHREVEPORT, LA
NPI
1659570273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ 3561)
Enumeration Date
2007-07-13
Last Update Date
2007-07-13
Business Address
Mr. GLENN F. MOBLEY COTA
2950 1/2 LAKEVIEW RD
SHREVEPORT, LA 71107
Phone number: 318-459-1181
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Mailing Address
Mr. GLENN F. MOBLEY COTA
2482 ARMFIELD RD
OAK GROVE, LA 71263-6819
Phone number: 318-230-6127
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