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1710739784
RANDI LYNN MOORE
PUEBLO, CO
NPI
1710739784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO OTA.0000019)
Enumeration Date
2024-04-03
Last Update Date
2024-04-03
Business Address
Mrs. RANDI LYNN MOORE COTA/L
24951 E US HIGHWAY 50
PUEBLO, CO 81006-2027
Phone number: 719-542-0220
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Mailing Address
Mrs. RANDI LYNN MOORE COTA/L
24951 E US HIGHWAY 50
PUEBLO, CO 81006-2027
Phone number: 719-542-0220
Copy
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