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1386075331
STACEY MOORE
SACRAMENTO, CA
NPI
1386075331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2013-12-02
Last Update Date
2013-12-02
Business Address
STACEY MOORE
5124 ROEMER LANE
SACRAMENTO, CA 95820-3033
Phone number: 916-717-4995
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Mailing Address
STACEY MOORE
5124 ROEMER LN
SACRAMENTO, CA 95820-3033
Phone number:
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