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1316177041
JAMES R MOON
MIDLOTHIAN, VA
NPI
1316177041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: VA 0810002661)
Enumeration Date
2009-07-15
Last Update Date
2010-02-24
Business Address
JAMES R MOON PH.D.
12807 ROSSMERE CT
MIDLOTHIAN, VA 23114-3093
Phone number: 800-632-6074
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Mailing Address
JAMES R MOON PH.D.
7431 114TH AVE SUITE 104
LARGO, FL 33773-5119
Phone number:
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