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1073986741
DOUG MOORE
SANTA CRUZ, CA
NPI
1073986741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-11-03
Last Update Date
2015-11-03
Business Address
-- DOUG MOORE
542 OCEAN ST STE K
SANTA CRUZ, CA 95060-6622
Phone number: 831-459-0444
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Mailing Address
-- DOUG MOORE
542 OCEAN ST STE K
SANTA CRUZ, CA 95060-6622
Phone number: 831-459-0444
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