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1740446517
JEANETTE FAYE MOODY
INDIANAPOLIS, IN
NPI
1740446517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32000106A)
Enumeration Date
2008-07-31
Last Update Date
2008-07-31
Business Address
Ms. JEANETTE FAYE MOODY COTA
8025 DOUBLE DAY DR
INDIANAPOLIS, IN 46216-2016
Phone number: 317-543-2649
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Mailing Address
Ms. JEANETTE FAYE MOODY COTA
11539 COASTAL WAY
INDIANAPOLIS, IN 46229-5216
Phone number: 317-894-3503
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