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1578989059
DOROTHY GWEN MOORE
REDONDO BEACH, CA
NPI
1578989059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G69762)
Enumeration Date
2014-03-09
Last Update Date
2014-03-09
Business Address
-- DOROTHY GWEN MOORE M.D.
626 N PAULINA AVE
REDONDO BEACH, CA 90277-3022
Phone number: 310-372-1998
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Mailing Address
-- DOROTHY GWEN MOORE M.D.
626 N PAULINA AVE
REDONDO BEACH, CA 90277-3022
Phone number: 310-372-1998
Copy
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