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1053533455
GARY THOMAS MOORE
DAVIS, CA
NPI
1053533455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-05-03
Last Update Date
2013-10-09
Business Address
-- GARY THOMAS MOORE
212 I ST
DAVIS, CA 95616-4213
Phone number: 530-601-5959
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Mailing Address
-- GARY THOMAS MOORE
212 I ST
DAVIS, CA 95616-4213
Phone number: 530-601-5959
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