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1972086940
CHARLES MOONEYHAM
SAINT PETERS, MO
NPI
1972086940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-09-14
Last Update Date
2019-09-04
Business Address
CHARLES MOONEYHAM
94 HOLLISTER CT
SAINT PETERS, MO 63376
Phone number: 314-305-0041
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Mailing Address
CHARLES MOONEYHAM
94 HOLLISTER CT
SAINT PETERS, MO 63376-7837
Phone number:
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