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1376909390
KEEGAN PATRICK DAVIS
FRESNO, CA
NPI
1376909390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 9012)
Enumeration Date
2016-01-06
Last Update Date
2024-09-17
Business Address
Mr. KEEGAN PATRICK DAVIS
1204 W SHAW AVE STE 102
FRESNO, CA 93711-3706
Phone number: 559-273-2942
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Mailing Address
Mr. KEEGAN PATRICK DAVIS
1361 N FARRIS AVE
FRESNO, CA 93728-1519
Phone number: 559-708-7704
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