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1568600963
GLEN MATTHEW MOORE
FONTANA, CA
NPI
1568600963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA a103719)
Enumeration Date
2009-01-23
Last Update Date
2022-09-08
Business Address
GLEN MATTHEW MOORE MD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-5083
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Mailing Address
GLEN MATTHEW MOORE MD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-5083
Copy
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