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1114130713
CHARLES E. MOORE
RICHMOND, CA
NPI
1114130713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-M0501060833)
Enumeration Date
2007-05-08
Last Update Date
2008-02-06
Business Address
-- CHARLES E. MOORE RASi
820 23RD ST
RICHMOND, CA 94804-1338
Phone number: 510-229-5000
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Mailing Address
-- CHARLES E. MOORE RASi
398 S 34TH ST
RICHMOND, CA 94804-3120
Phone number: 510-237-8073
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