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1780849323
SANDRA L MOSS
PROVO, UT
NPI
1780849323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: UT 280066-4202)
Enumeration Date
2008-07-23
Last Update Date
2008-07-23
Business Address
-- SANDRA L MOSS OT
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7450
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Mailing Address
-- SANDRA L MOSS OT
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number:
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