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1811669039
REINA ISABEL MOORE
COLORADO SPRINGS, CO
NPI
1811669039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO OTA.0001494)
Enumeration Date
2021-10-05
Last Update Date
2021-10-05
Business Address
REINA ISABEL MOORE
4342 KAOLIN CT
COLORADO SPRINGS, CO 80938-9630
Phone number: 931-802-3958
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Mailing Address
REINA ISABEL MOORE
4342 KAOLIN CT
COLORADO SPRINGS, CO 80938-9630
Phone number: 931-802-3958
Copy
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