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1801110689
JAY A MOORE
RALEIGH, NC
NPI
1801110689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 3997)
Enumeration Date
2010-03-23
Last Update Date
2010-03-23
Business Address
-- JAY A MOORE MS, OTR/L
3001 SPRING FOREST RD
RALEIGH, NC 27616-2815
Phone number: 919-424-8050
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Mailing Address
-- JAY A MOORE MS, OTR/L
612 LAKEVIEW AVE
WAKE FOREST, NC 27587-2990
Phone number: 919-434-6171
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