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1275558694
KEITH J ANDERSEN
BISHOP, CA
NPI
1275558694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TB0200X Psychologist Cognitive & Behavioral
(Licence: CA 14114)
Enumeration Date
2006-07-13
Last Update Date
2007-07-08
Business Address
DR. KEITH J ANDERSEN PH.D.
152 PIONEER LN STE H
BISHOP, CA 93514-2563
Phone number: 760-873-6712
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Mailing Address
DR. KEITH J ANDERSEN PH.D.
PO BOX 873
BISHOP, CA 93515-0873
Phone number: 760-873-6712
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