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1013306539
RAPHAEL MOORE
LANCASTER, CA
NPI
1013306539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 2102)
Enumeration Date
2015-01-21
Last Update Date
2015-01-21
Business Address
-- RAPHAEL MOORE
1642 W AVENUE J
LANCASTER, CA 93534-2814
Phone number: 661-942-8463
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Mailing Address
-- RAPHAEL MOORE
42422 MARSUERITE WAY
LANCASTER, CA 93536-4561
Phone number: 323-240-6237
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