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1376605584
ROSS EVON MOORE
FAIRFIELD, CA
NPI
1376605584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 42879)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
-- ROSS EVON MOORE MFT
740 BECK AVE
FAIRFIELD, CA 94533-4440
Phone number: 707-784-6570
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Mailing Address
-- ROSS EVON MOORE MFT
536 OAKMEADOW CT
VACAVILLE, CA 95687-7111
Phone number: 707-446-6060
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