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1154816502
JONATHAN MOORE
TRAVERSE CITY, MI
NPI
1154816502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-06-28
Last Update Date
2018-06-28
Business Address
JONATHAN MOORE M.S. Ed
1363 DOUGLAS DR
TRAVERSE CITY, MI 49696-8980
Phone number: 231-668-4909
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Mailing Address
JONATHAN MOORE M.S. Ed
1363 DOUGLAS DR
TRAVERSE CITY, MI 49696-8980
Phone number: 231-668-4909
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