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1952601130
JONATHAN DAVID MOSS
HILO, HI
NPI
1952601130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: HI 4194)
Enumeration Date
2010-10-22
Last Update Date
2017-04-07
Business Address
-- JONATHAN DAVID MOSS MSW
399 W. KAWILI ST. #202
HILO, HI 96720-4086
Phone number: 808-657-8484
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Mailing Address
-- JONATHAN DAVID MOSS MSW
110 ALAE ST
HILO, HI 96720-2507
Phone number: 808-657-8484
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