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1720489107
ANDREA JENAE MOSS
SALT LAKE CITY, UT
NPI
1720489107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: UT 9066300-4104)
Enumeration Date
2014-09-04
Last Update Date
2017-02-08
Business Address
-- ANDREA JENAE MOSS
433 E 2700 S
SALT LAKE CITY, UT 84115-3325
Phone number: 313-671-4985
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Mailing Address
-- ANDREA JENAE MOSS
7748 S ROPE KEY DR APT H208
MIDVALE, UT 84047-7567
Phone number: 313-671-4985
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