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1285173237
KEELY PAYNE
STOCKTON, CA
NPI
1285173237
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-02-22
Last Update Date
2017-02-22
Business Address
-- KEELY PAYNE
8626 LOWER SACRAMENTO RD STE 41
STOCKTON, CA 95210-1835
Phone number: 818-206-0360
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Mailing Address
-- KEELY PAYNE
PO BOX 464
LIVERMORE, CA 94551-0464
Phone number: 925-339-6552
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