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1790550366
KENNETH MOORE
HARRISVILLE, WV
NPI
1790550366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV 1099)
Enumeration Date
2023-11-23
Last Update Date
2023-11-23
Business Address
KENNETH MOORE
400 MCKINLEY AVE
HARRISVILLE, WV 26362-1150
Phone number: 304-643-2717
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Mailing Address
KENNETH MOORE
10920 INLAND RD
CAMBRIDGE, OH 43725-8694
Phone number: 681-264-0452
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