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1548608078
KEOSHA GENISE MOSES
TORRANCE, CA
NPI
1548608078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-06-06
Last Update Date
2013-06-06
Business Address
-- KEOSHA GENISE MOSES
1534 W 206TH ST APT C
TORRANCE, CA 90501-6437
Phone number: 310-673-4117
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Mailing Address
-- KEOSHA GENISE MOSES
1534 W 206TH ST APT C
TORRANCE, CA 90501-6437
Phone number: 310-673-4117
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