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1578884789
JONATHAN TAD MOORE
TACOMA, WA
NPI
1578884789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: WA PY 60586639)
Enumeration Date
2010-06-22
Last Update Date
2016-01-25
Business Address
Dr. JONATHAN TAD MOORE PhD
9600 VETERANS DR SW 116-A
TACOMA, WA 98493-0003
Phone number: 253-583-1771
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Mailing Address
Dr. JONATHAN TAD MOORE PhD
9600 VETERANS DR SW 116-A
TACOMA, WA 98493-0003
Phone number: 253-583-1771
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