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1417428178
MICHAEL KEENAN
SAINT GEORGE, UT
NPI
1417428178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 5649814-6006)
Enumeration Date
2018-12-06
Last Update Date
2018-12-06
Business Address
MICHAEL KEENAN LSUDC
1223 S 1280 E
SAINT GEORGE, UT 84790-8553
Phone number: 435-680-1459
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Mailing Address
MICHAEL KEENAN LSUDC
1223 S 1280 E
SAINT GEORGE, UT 84790-8553
Phone number: 435-680-1459
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