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1144581265
CHRISTOPHER PAUL MOONEYHAN
SANTA ROSA, CA
NPI
1144581265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-06-05
Last Update Date
2012-06-05
Business Address
Mr. CHRISTOPHER PAUL MOONEYHAN
3315 AIRWAY DR
SANTA ROSA, CA 95403-2005
Phone number: 707-604-7660
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Mailing Address
Mr. CHRISTOPHER PAUL MOONEYHAN
3315 AIRWAY DR
SANTA ROSA, CA 95403-2005
Phone number: 707-604-7660
Copy
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