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1568110799
KEITH SHAMPANER
RIVIERA BEACH, FL
NPI
1568110799
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL 17534)
Enumeration Date
2022-03-16
Last Update Date
2022-03-16
Business Address
KEITH SHAMPANER SW
7305 N MILITARY TRL
RIVIERA BEACH, FL 33410-7417
Phone number: 561-422-6870
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Mailing Address
KEITH SHAMPANER SW
4456 NICOLE CIR
TEQUESTA, FL 33469-2574
Phone number:
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