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1194222380
BRANDON ARTHUR MOAK
SAN TAN VALLEY, AZ
NPI
1194222380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AZ LPC16429)
Enumeration Date
2018-04-12
Last Update Date
2018-04-12
Business Address
BRANDON ARTHUR MOAK
2474 E HUNT HWY # 100
SAN TAN VALLEY, AZ 85143-5210
Phone number: 480-784-1514
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Mailing Address
BRANDON ARTHUR MOAK
1365 E ASH RD
SAN TAN VALLEY, AZ 85140-3214
Phone number: 480-317-2213
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