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1194094045
TIMOTHY RICHARD MOORE
MINNEAPOLIS, MN
NPI
1194094045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MN 5453)
Enumeration Date
2011-12-22
Last Update Date
2018-04-30
Business Address
Dr. TIMOTHY RICHARD MOORE Ph.D.
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414-3325
Phone number: 612-331-9413
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Mailing Address
Dr. TIMOTHY RICHARD MOORE Ph.D.
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414-3325
Phone number: 612-331-9413
Copy
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