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Individual

JEFFERY MORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1305 DEL NORTE RD, 130, CAMARILLO, CA 93010-8436
(805) 415-6835
Mailing address
1305 DEL NORTE RD, 130, CAMARILLO, CA 93010-8436
(805) 415-6835

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
11/29/2012
Last updated
11/29/2012
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