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1245413590
KENNETH MOORE
BAKERSFIELD, CA
NPI
1245413590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 54835)
Enumeration Date
2007-12-10
Last Update Date
2007-12-10
Business Address
-- KENNETH MOORE
3628 STOCKDALE HWY
BAKERSFIELD, CA 93309-2153
Phone number: 661-322-1021
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Mailing Address
-- KENNETH MOORE
600 HOSKING AVE APT 71A
BAKERSFIELD, CA 93307-5739
Phone number:
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