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1215341011
MITCHELL MOORE
RENO, NV
NPI
1215341011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: NV 0801939769)
Enumeration Date
2014-06-19
Last Update Date
2014-06-19
Business Address
-- MITCHELL MOORE
2470 WRONDEL WAY STE 275
RENO, NV 89502-3701
Phone number: 775-354-3991
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Mailing Address
-- MITCHELL MOORE
2470 WRONDEL WAY STE 275
RENO, NV 89502-3701
Phone number: 775-354-3991
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