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1487947115
KEITH STAUCH
LA VISTA, NE
NPI
1487947115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2011-05-27
Last Update Date
2012-07-18
Business Address
Mr. KEITH STAUCH
8610 BRENTWOOD DR 1
LA VISTA, NE 68128-3377
Phone number: 402-331-3232
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Mailing Address
Mr. KEITH STAUCH
1301 GALVIN RD S 208
BELLEVUE, NE 68005-3712
Phone number: 402-860-3405
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