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1902455983
ALEXANDRA MARIE MOORE
SHAWNEE, OK
NPI
1902455983
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Former Name
ALEXANDRA MARIE EVANS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OK 5373)
Enumeration Date
2019-09-11
Last Update Date
2019-11-04
Business Address
ALEXANDRA MARIE MOORE OTR/L
2506 N HARRISON ST
SHAWNEE, OK 74804-3131
Phone number: 405-214-0300
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Mailing Address
ALEXANDRA MARIE MOORE OTR/L
PO BOX 3675
SHAWNEE, OK 74802-3675
Phone number: 405-214-0300
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