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1952910705
MILLICENT GABRIELLE MOORE
ESCONDIDO, CA
NPI
1952910705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2020-07-28
Last Update Date
2020-07-28
Business Address
MILLICENT GABRIELLE MOORE
1001 S HALE AVE SPC 54
ESCONDIDO, CA 92029-2177
Phone number: 760-729-8295
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Mailing Address
MILLICENT GABRIELLE MOORE
3170 BANCROFT DR APT 1
SPRING VALLEY, CA 91977-2669
Phone number: 224-469-5290
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