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1376761239
KEITH VEGA
INGLEWOOD, CA
NPI
1376761239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-23
Last Update Date
2007-07-08
Business Address
-- KEITH VEGA
8443 CRENSHAW BLVD STE 107
INGLEWOOD, CA 90305-4504
Phone number: 323-750-2850
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Mailing Address
-- KEITH VEGA
8443 CRENSHAW BLVD STE 107
INGLEWOOD, CA 90305-4504
Phone number: 323-750-2850
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