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1124780986
MELTON RAY KEITH
SACRAMENTO, CA
NPI
1124780986
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Other Name
JR KEITH
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1438570721)
Enumeration Date
2021-10-08
Last Update Date
2021-10-08
Business Address
Mr. MELTON RAY KEITH
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 915-395-3552
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Mailing Address
Mr. MELTON RAY KEITH
5312 VALHALLA DR
CARMICHAEL, CA 95608-1243
Phone number: 916-517-5960
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