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1417430471
JONATHAN BYREL MOORE-NORTHROP
UKIAH, CA
NPI
1417430471
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Other Name
JONATHAN MOORE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-09-14
Last Update Date
2018-09-14
Business Address
JONATHAN BYREL MOORE-NORTHROP
201 BRUSH ST
UKIAH, CA 95482-3424
Phone number: 707-462-6290
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Mailing Address
JONATHAN BYREL MOORE-NORTHROP
100 W SMITH ST APT 1
UKIAH, CA 95482-4357
Phone number: 707-462-6290
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