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1366973133
KEITH BURKS
SPOKANE, WA
NPI
1366973133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60562354)
Enumeration Date
2017-03-23
Last Update Date
2017-03-23
Business Address
-- KEITH BURKS
518 S BROWNE ST
SPOKANE, WA 99204-2315
Phone number: 509-456-5465
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Mailing Address
-- KEITH BURKS
518 S BROWNE ST
SPOKANE, WA 99204-2315
Phone number:
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