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1710048913
WILLIE MOORE
VALLEJO, CA
NPI
1710048913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
Mr. WILLIE MOORE
1027 ALABAMA ST
VALLEJO, CA 94590-4511
Phone number: 707-558-1600
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Mailing Address
Mr. WILLIE MOORE
1132 CINNABAR WAY
VACAVILLE, CA 95687-7834
Phone number: 707-558-1600
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