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1154863363
KORY KEEFAUVER
SANTA ROSA, CA
NPI
1154863363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-11-07
Last Update Date
2017-02-15
Business Address
-- KORY KEEFAUVER
2447 SUMMERFIELD RD
SANTA ROSA, CA 95405-7815
Phone number: 707-544-3299
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Mailing Address
-- KORY KEEFAUVER
2447 SUMMERFIELD RD
SANTA ROSA, CA 95405
Phone number:
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