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1477735561
KEONTAY ROSE
SACRAMENTO, CA
NPI
1477735561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-11-29
Last Update Date
2007-11-29
Business Address
-- KEONTAY ROSE
4545 9TH AVE
SACRAMENTO, CA 95820-1452
Phone number: 916-736-0228
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Mailing Address
-- KEONTAY ROSE
4545 9TH AVE
SACRAMENTO, CA 95820-1452
Phone number: 916-736-0228
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