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1831954833
SAMANTHA LYNN MOON
CASPER, WY
NPI
1831954833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WY OTA-1772)
Enumeration Date
2024-02-19
Last Update Date
2024-02-19
Business Address
SAMANTHA LYNN MOON
813 CY AVE
CASPER, WY 82601-4161
Phone number: 307-380-9333
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Mailing Address
SAMANTHA LYNN MOON
813 CY AVE
CASPER, WY 82601-4161
Phone number:
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