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1144230848
DAVID MOORE
BILOXI, MS
NPI
1144230848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2006-08-08
Last Update Date
2007-07-08
Business Address
DAVID MOORE
400 VETERANS AVE
BILOXI, MS 39531-2410
Phone number: 228-523-5776
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Mailing Address
DAVID MOORE
2259 CLUB MOSS CIR
BILOXI, MS 39532-3325
Phone number: 228-594-0072
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