IAN JOSEPH MOORE

MEDFORD, OR
NPI1861762809
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2012-01-09
Last Update Date2012-01-09
Business Address
-- IAN JOSEPH MOORE peer support special
1911 HAZEL AVE
MEDFORD, OR 97501
Phone number: 541-734-3951
Mailing Address
-- IAN JOSEPH MOORE peer support special
1911 HAZEL ST.
MEDFORD, OR 97501
Phone number: 541-734-3951
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