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1356714430
KEITH MCPHERSON ENNIS
FRESNO, CA
NPI
1356714430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 6533)
Enumeration Date
2015-11-11
Last Update Date
2024-11-01
Business Address
Mr. KEITH MCPHERSON ENNIS SUDC III-CS
3636 N 1ST ST STE 135&154
FRESNO, CA 93726-6800
Phone number: 559-225-1464
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Mailing Address
Mr. KEITH MCPHERSON ENNIS SUDC III-CS
3636 N. FIRST ST. # 135
FRESNO, CA 93726
Phone number: 559-225-1464
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