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1649036526
ELIJAH J MOORE
SAN BERNARDINO, CA
NPI
1649036526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-02-27
Last Update Date
2024-02-27
Business Address
ELIJAH J MOORE
732 CARNEGIE DR STE 100
SAN BERNARDINO, CA 92408-3589
Phone number: 909-756-8887
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Mailing Address
ELIJAH J MOORE
21600 OXNARD ST
WOODLAND HILLS, CA 91367-4976
Phone number: 818-345-2345
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