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1952802167
CORY RYAN MOORE
EDMOND, OK
NPI
1952802167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 864)
Enumeration Date
2018-02-22
Last Update Date
2018-02-22
Business Address
Mr. CORY RYAN MOORE
13501 N BRYANT AVE
EDMOND, OK 73013-6242
Phone number: 405-246-0222
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Mailing Address
Mr. CORY RYAN MOORE
12390 AUTUMN BRK
GUTHRIE, OK 73044-7593
Phone number: 405-308-3426
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