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1205107877
CARL MOORE
MEDFORD, OR
NPI
1205107877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: professionallicense)
Enumeration Date
2012-01-13
Last Update Date
2023-08-21
Business Address
CARL MOORE
503 AIRPORT RD STE 101
MEDFORD, OR 97504-4159
Phone number: 541-200-2900
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Mailing Address
CARL MOORE
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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