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1881061562
GLORIA MOORE
EL MONTE, CA
NPI
1881061562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 156043)
Enumeration Date
2015-08-28
Last Update Date
2015-08-28
Business Address
GLORIA MOORE
12423 DAHLIA AVE
EL MONTE, CA 91732-3611
Phone number: 626-258-0300
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Mailing Address
GLORIA MOORE
12423 DAHLIA AVE
EL MONTE, CA 91732-3611
Phone number: 626-258-0300
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