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1093189045
JAVON ALLEN MOORE
LA VERNE, CA
NPI
1093189045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2015-11-13
Last Update Date
2015-11-13
Business Address
-- JAVON ALLEN MOORE
233 BASELINE RD
LA VERNE, CA 91750-2353
Phone number: 909-833-2986
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Mailing Address
-- JAVON ALLEN MOORE
233 BASELINE RD
LA VERNE, CA 91750-2353
Phone number: 909-833-2986
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