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1093070633
KRISTINE MOORE
SALT LAKE CITY, UT
NPI
1093070633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-07-10
Last Update Date
2012-07-10
Business Address
-- KRISTINE MOORE
857 E 200 S
SALT LAKE CITY, UT 84102-2317
Phone number: 801-487-3276
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Mailing Address
-- KRISTINE MOORE
857 E 200 S
SALT LAKE CITY, UT 84102-2317
Phone number: 801-487-3276
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