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1942859236
DAVID MOORE
PASADENA, CA
NPI
1942859236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-09-09
Last Update Date
2019-09-09
Business Address
DAVID MOORE
1680 N FAIR OAKS AVE
PASADENA, CA 91103-1642
Phone number: 474-750-6180
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Mailing Address
DAVID MOORE
1680 N FAIR OAKS AVE
PASADENA, CA 91103-1642
Phone number: 626-798-0884
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