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1124182969
DONALD ROBERT MOORE
SAN RAFAEL, CA
NPI
1124182969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-12-19
Last Update Date
2007-07-08
Business Address
Mr. DONALD ROBERT MOORE
914 MISSION AVE
SAN RAFAEL, CA 94901-6106
Phone number: 415-457-1925
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Mailing Address
Mr. DONALD ROBERT MOORE
820 LAKEVILLE CIR
PETALUMA, CA 94954-5739
Phone number: 415-457-1925
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