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1093222002
TERESA MOORE
YUMA, AZ
NPI
1093222002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-12-29
Last Update Date
2017-12-29
Business Address
TERESA MOORE MED
3795 W 22ND LN STE 14
YUMA, AZ 85364-9266
Phone number: 928-783-1505
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Mailing Address
TERESA MOORE MED
3795 W 22ND LN STE 14
YUMA, AZ 85364-9266
Phone number: 928-783-1505
Copy
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