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1104162684
KEITH ALAN PRATT
SAN DIEGO, CA
NPI
1104162684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-01-02
Last Update Date
2013-01-02
Business Address
Mr. KEITH ALAN PRATT
3340 KEMPER ST SUITE 105
SAN DIEGO, CA 92110-4906
Phone number: 619-523-8121
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Mailing Address
Mr. KEITH ALAN PRATT
3340 KEMPER ST SUITE 105
SAN DIEGO, CA 92110-4906
Phone number: 619-523-8121
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