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1821667304
TIMOTHY MOORE
BEND, OR
NPI
1821667304
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Entity Type
Organization
Authorized Contact
TIMOTHY MOORE
Owner
541-306-0474
Organization Subpart ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2021-06-21
Last Update Date
2021-06-21
Business Address
TIMOTHY MOORE
384 SW UPPER TERRACE DR STE 212
BEND, OR 97702-3514
Phone number: 541-306-0474
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Mailing Address
TIMOTHY MOORE
250 NW ST HELENS PL
BEND, OR 97703-2661
Phone number:
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