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1154332609
JOHN PATRICK MOORE
MINNEAPOLIS, MN
NPI
1154332609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MN 13225)
Enumeration Date
2006-08-10
Last Update Date
2007-07-08
Business Address
MR. JOHN PATRICK MOORE LICSW
ONE VETERANS DRIVE VA MEDICAL CENTER (116A2/3)
MINNEAPOLIS, MN 55417
Phone number: 612-467-4783
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Mailing Address
MR. JOHN PATRICK MOORE LICSW
8385 113TH ST S
COTTAGE GROVE, MN 55016-4520
Phone number: 651-458-8647
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