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1174143432
STEPHANIE MOORE
FARMINGTON, NM
NPI
1174143432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-04-16
Last Update Date
2020-04-16
Business Address
STEPHANIE MOORE
3205 N DUSTIN AVE
FARMINGTON, NM 87401-9229
Phone number: 505-402-1224
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Mailing Address
STEPHANIE MOORE
907 N ORCHARD AVE
FARMINGTON, NM 87401-6099
Phone number: 505-402-1224
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