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1326805359
JASON THOMAS MOORE
SANTA MONICA, CA
NPI
1326805359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-03-05
Last Update Date
2024-03-05
Business Address
JASON THOMAS MOORE
907 PICO BLVD
SANTA MONICA, CA 90405-1326
Phone number: 310-314-6200
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Mailing Address
JASON THOMAS MOORE
670 W 9TH ST
SAN PEDRO, CA 90731-3108
Phone number: 424-482-6494
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