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1386651222
HOMER DALE KEETON
VIENNA, VA
NPI
1386651222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: VA 0701000638)
Enumeration Date
2006-08-02
Last Update Date
2007-07-08
Business Address
DR. HOMER DALE KEETON PH.D.
407 CHURCH ST NE STE I
VIENNA, VA 22180-4737
Phone number: 703-356-1330
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Mailing Address
DR. HOMER DALE KEETON PH.D.
407 CHURCH ST NE STE I
VIENNA, VA 22180-4737
Phone number: 703-356-1330
Copy
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