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1710091020
THEODORE BRUCE MOORE
LOS ANGELES, CA
NPI
1710091020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0207X Pediatrics, Pediatric Hematology-Oncology
(Licence: CA G69308)
Enumeration Date
2006-08-17
Last Update Date
2012-08-27
Business Address
Dr. THEODORE BRUCE MOORE M.D.
10833 LE CONTE AVE 12-441 MDCC
LOS ANGELES, CA 90095-3075
Phone number: 310-825-6708
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Mailing Address
Dr. THEODORE BRUCE MOORE M.D.
10833 LE CONTE AVE 12-441 MDCC
LOS ANGELES, CA 90095-3075
Phone number: 310-825-6708
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