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1912351396
BRYAN MOORE
WEST COVINA, CA
NPI
1912351396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-04-21
Last Update Date
2016-04-28
Business Address
-- BRYAN MOORE
1517 W GARVEY AVE N
WEST COVINA, CA 91790-2138
Phone number: 626-962-6061
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Mailing Address
-- BRYAN MOORE
300 S HAZEL ST APT 246
LA HABRA, CA 90631-2301
Phone number: 714-261-5296
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