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1215103676
JONATHAN J MOORE
LOS ANGELES, CA
NPI
1215103676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
374700000X Technician
Enumeration Date
2008-05-06
Last Update Date
2008-08-04
Business Address
Mr. JONATHAN J MOORE
257 S SPRING ST APT 2L
LOS ANGELES, CA 90012-4383
Phone number: 213-625-1020
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Mailing Address
Mr. JONATHAN J MOORE
257 S SPRING ST APT 2L
LOS ANGELES, CA 90012-4383
Phone number: 213-625-1020
Copy
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