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Individual

JULIE MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1318 E INDEPENDENCE ST, SHAWNEE, OK 74804-4137
(405) 275-1801
Mailing address
7617 NW 133RD PL, OKLAHOMA CITY, OK 73142-4451
(405) 275-1801

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
947
OK

Other

Enumeration date
08/09/2019
Last updated
08/09/2019
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