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1760206049
MARA BETH MOORE
SHREVEPORT, LA
NPI
1760206049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: LA 338817)
Enumeration Date
2024-11-13
Last Update Date
2024-11-13
Business Address
MARA BETH MOORE LOTR
702 PROFESSIONAL DR N
SHREVEPORT, LA 71105-5600
Phone number: 870-914-1809
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Mailing Address
MARA BETH MOORE LOTR
702 N PROFESSIONAL DR
SHREVEPORT, LA 71105
Phone number: 318-746-1199
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