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1023742442
KATHLEEN GRACE MOORE
SAN DIEGO, CA
NPI
1023742442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2022-07-12
Last Update Date
2022-07-12
Business Address
KATHLEEN GRACE MOORE CCC-SLP
7525 METROPOLITAN DR STE 308
SAN DIEGO, CA 92108-4412
Phone number: 619-692-0622
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Mailing Address
KATHLEEN GRACE MOORE CCC-SLP
1707 CHALCEDONY ST APT 17
SAN DIEGO, CA 92109-3205
Phone number: 309-265-3398
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