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1063140176
CHARLES MOORE
SAN DIEGO, CA
NPI
1063140176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-08-08
Last Update Date
2022-08-08
Business Address
CHARLES MOORE
4719 VIEWRIDGE AVE STE 100
SAN DIEGO, CA 92123-1685
Phone number: 866-727-8274
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Mailing Address
CHARLES MOORE
2550 N HOLLYWOOD WAY STE 102
BURBANK, CA 91505-5031
Phone number: 866-727-8274
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