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Octavia Moore
NPI 1487077608 · on the registry since 2014 · sole proprietor
Practice
- Address
- 4998 Derby Rd
Dayton, OH 45417 - Phone
- (937) 520-0224
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-01-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio