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1215130430
KEITH HENDERSON
LOS ANGELES, CA
NPI
1215130430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA 5845)
Enumeration Date
2007-06-06
Last Update Date
2007-07-08
Business Address
-- KEITH HENDERSON
5115 W ADAMS BLVD
LOS ANGELES, CA 90016-2727
Phone number: 323-933-3439
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Mailing Address
-- KEITH HENDERSON
2127 E 99TH PL #193
LOS ANGELES, CA 90002-3152
Phone number: 323-220-9356
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