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1588806335
KEITH ROBERT HABERSTOCK
WOODLAND, CA
NPI
1588806335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: CA 13741)
Enumeration Date
2009-03-25
Last Update Date
2009-03-25
Business Address
MR. KEITH ROBERT HABERSTOCK M.S., CCC-SLP
96 W MAIN ST SUITE B
WOODLAND, CA 95695-3016
Phone number: 530-668-1010
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Mailing Address
MR. KEITH ROBERT HABERSTOCK M.S., CCC-SLP
2178 MARSHALL WAY
SACRAMENTO, CA 95818-3544
Phone number: 916-452-0407
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