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1710227327
JAKE MOORE
BOULDER, CO
NPI
1710227327
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-02-18
Last Update Date
2013-02-18
Business Address
-- JAKE MOORE BA
1333 IRIS AVE
BOULDER, CO 80304-2226
Phone number: 303-443-8500
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Mailing Address
-- JAKE MOORE BA
13830 DOGLEG LN
BROOMFIELD, CO 80023-9571
Phone number: 720-227-1206
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