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1942805734
RODERICK MOORE
PAINESVILLE, OH
NPI
1942805734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-12-01
Last Update Date
2020-12-01
Business Address
RODERICK MOORE PA/Admin Asst.
796 OAK ST
PAINESVILLE, OH 44077-4335
Phone number: 440-391-7248
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Mailing Address
RODERICK MOORE PA/Admin Asst.
805 MEIGS AVE
PAINESVILLE, OH 44077-1129
Phone number: 440-391-7248
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