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1588200125
KEITH E HAMPTON
MADISON, WI
NPI
1588200125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 19033-130)
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
KEITH E HAMPTON SAC-IT, MA
5109 WORLD DAIRY DR
MADISON, WI 53718-3807
Phone number: 608-242-0220
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Mailing Address
KEITH E HAMPTON SAC-IT, MA
5109 WORLD DAIRY DR
MADISON, WI 53718-3807
Phone number: 608-242-0220
Copy
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