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1760959399
JAMES KIP W MOYER
FLAGSTAFF, AZ
NPI
1760959399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: AZ LMFT-15278)
Enumeration Date
2018-11-01
Last Update Date
2018-11-01
Business Address
JAMES KIP W MOYER
2695 E INDUSTRIAL DR
FLAGSTAFF, AZ 86004-6109
Phone number: 928-527-1899
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Mailing Address
JAMES KIP W MOYER
2187 N VICKEY ST
FLAGSTAFF, AZ 86004-6121
Phone number: 928-527-1899
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