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1598220246
SHANAY LAMONT MOORE
TEMECULA, CA
NPI
1598220246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-02-07
Last Update Date
2019-02-07
Business Address
Mr. SHANAY LAMONT MOORE
30660 MILKY WAY DR. V174
TEMECULA, CA 92592
Phone number: 951-775-3101
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Mailing Address
Mr. SHANAY LAMONT MOORE
30660 MILKY WAY DR APT V174
TEMECULA, CA 92592-3274
Phone number: 951-775-3101
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