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1902277692
MICHEAL MOORE
SAN BERNARDINO, CA
NPI
1902277692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-10-07
Last Update Date
2024-09-05
Business Address
MICHEAL MOORE
104 W 4TH ST
SAN BERNARDINO, CA 92415-3222
Phone number: 909-382-7880
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Mailing Address
MICHEAL MOORE
104 W 4TH ST
SAN BERNARDINO, CA 92415-0035
Phone number: 909-382-7880
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