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1912669847
DOMINIC J MOORE
INDIO, CA
NPI
1912669847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: CA GKJBRVZWLCYMONP)
Enumeration Date
2021-10-07
Last Update Date
2023-05-10
Business Address
Mr. DOMINIC J MOORE
44199 MONROE ST
INDIO, CA 92201-3096
Phone number: 760-863-8341
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Mailing Address
Mr. DOMINIC J MOORE
44199 MONROE ST
INDIO, CA 92201-3096
Phone number: 760-863-8341
Copy
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