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1811454838
CLINT ALEXANDER MOORE
ST PETERSBURG, FL
NPI
1811454838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-02-26
Last Update Date
2019-02-26
Business Address
Mr. CLINT ALEXANDER MOORE CBHCHS Case Mgmt.
4024 CENTRAL AVE
ST PETERSBURG, FL 33711-1239
Phone number: 727-543-8545
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Mailing Address
Mr. CLINT ALEXANDER MOORE CBHCHS Case Mgmt.
PO BOX 10970
ST PETERSBURG, FL 33733-0970
Phone number: 727-543-8545
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