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1013756113
KYLE LEE MOORE
EL MONTE, CA
NPI
1013756113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2024-05-20
Last Update Date
2024-05-20
Business Address
KYLE LEE MOORE
3430 COGSWELL RD
EL MONTE, CA 91732-2785
Phone number: 626-453-3400
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Mailing Address
KYLE LEE MOORE
3430 COGSWELL RD
EL MONTE, CA 91732-2785
Phone number: 626-453-3400
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