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1417200288
TIFFANY LOUISE MOORE
SANTA ROSA, CA
NPI
1417200288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 15230)
Enumeration Date
2012-10-18
Last Update Date
2015-06-10
Business Address
-- TIFFANY LOUISE MOORE O.D.
800 4TH ST
SANTA ROSA, CA 95404-4505
Phone number: 707-542-1554
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Mailing Address
-- TIFFANY LOUISE MOORE O.D.
2024 MONTECITO AVE
SANTA ROSA, CA 95404
Phone number:
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