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1265264030
THOMAS JORDAN MOORE
SAN JOSE, CA
NPI
1265264030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-08-19
Last Update Date
2024-09-10
Business Address
THOMAS JORDAN MOORE
425 E SANTA CLARA ST
SAN JOSE, CA 95113-1936
Phone number: 669-245-3428
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Mailing Address
THOMAS JORDAN MOORE
200 EDMONDS RD
REDWOOD CITY, CA 94062-3813
Phone number: 669-245-3248
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