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Individual
DEBORAH R MOSS
Active
Individual
DEBORAH R MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, OTL
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
13456
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5970197
DRIVER LICENSE
CA
Enumeration date
07/05/2012
Last updated
01/08/2025
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