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1174841373
KEISHA CLARK
CHULA VISTA, CA
NPI
1174841373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-05-12
Last Update Date
2010-05-12
Business Address
-- KEISHA CLARK
1124 BAY BLVD SUITE D
CHULA VISTA, CA 91911-7155
Phone number: 619-420-3620
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Mailing Address
-- KEISHA CLARK
1124 BAY BLVD SUITE D
CHULA VISTA, CA 91911-7155
Phone number:
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