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1376847871
INGRID MARIA MOORE
MEDFORD, OR
NPI
1376847871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2010-12-27
Last Update Date
2017-03-16
Business Address
-- INGRID MARIA MOORE MS
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
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Mailing Address
-- INGRID MARIA MOORE MS
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
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