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1346871985
DRAVEN JAY KELLER
EUREKA, CA
NPI
1346871985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-02-02
Last Update Date
2020-02-02
Business Address
DRAVEN JAY KELLER
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
DRAVEN JAY KELLER
PO BOX 881
EUREKA, CA 95502-0881
Phone number: 707-362-1405
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