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1891318911
OMEGA MOORE
HAWTHORNE, CA
NPI
1891318911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-05-22
Last Update Date
2020-05-22
Business Address
OMEGA MOORE MEDICAL ASSISTANT
12917 CERISE AVE
HAWTHORNE, CA 90250-5520
Phone number: 310-675-1949
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Mailing Address
OMEGA MOORE MEDICAL ASSISTANT
12917 CERISE AVE
HAWTHORNE, CA 90250-5520
Phone number:
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