VERNON MOSS

MONROE, LA
NPI1912123480
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  Z10600)
Enumeration Date2007-04-17
Last Update Date2011-10-04
Business Address
Mr. VERNON MOSS LOTR
109 KIOWA ST
MONROE, LA 71203-8565
Phone number: 318-557-1672
Mailing Address
Mr. VERNON MOSS LOTR
109 KIOWA ST
MONROE, LA 71203-8565
Phone number: 318-557-1672
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