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1336317791
SYBL ALEXANDRA MOORE
STOCKTON, CA
NPI
1336317791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-02-19
Last Update Date
2008-02-19
Business Address
-- SYBL ALEXANDRA MOORE
1111 N EL DORADO ST
STOCKTON, CA 95202-1305
Phone number: 209-938-0228
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Mailing Address
-- SYBL ALEXANDRA MOORE
2255 WESTMORA AVE
STOCKTON, CA 95210-1644
Phone number: 209-888-4248
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