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1184381527
MATTHEW R KEOUGH
SAN PEDRO, CA
NPI
1184381527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-11-19
Last Update Date
2021-11-19
Business Address
Mr. MATTHEW R KEOUGH
1003 S BEACON ST
SAN PEDRO, CA 90731-4324
Phone number: 310-514-4940
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Mailing Address
Mr. MATTHEW R KEOUGH
1003 S BEACON ST
SAN PEDRO, CA 90731-4324
Phone number: 310-514-4940
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