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1356677108
STAN ROBERT MOORE
SOLANA BEACH, CA
NPI
1356677108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY14910)
Enumeration Date
2009-10-29
Last Update Date
2009-10-29
Business Address
Dr. STAN ROBERT MOORE Ph.D.
530 LOMAS SANTA FE DR SUITE M
SOLANA BEACH, CA 92075-1349
Phone number: 619-464-1165
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Mailing Address
Dr. STAN ROBERT MOORE Ph.D.
PO BOX 549
POWAY, CA 92074-0549
Phone number: 619-464-1165
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