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1558609032
LARRY MOORE
PLYMOUTH, MA
NPI
1558609032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-01-18
Last Update Date
2013-01-18
Business Address
-- LARRY MOORE
1233 STATE RD
PLYMOUTH, MA 02360-5133
Phone number: 508-224-7701
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Mailing Address
-- LARRY MOORE
1233 STATE RD
PLYMOUTH, MA 02360-5133
Phone number: 508-224-7701
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