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1609128313
EDAN MICHAEL KEVEN
FRESNO, CA
NPI
1609128313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-10-04
Last Update Date
2012-10-04
Business Address
Mr. EDAN MICHAEL KEVEN
2772 SOUTH MARTIN LUTHER KING BOULEVARD
FRESNO, CA 93706
Phone number: 559-265-4800
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Mailing Address
Mr. EDAN MICHAEL KEVEN
3416 N FRUIT AVE APT N
FRESNO, CA 93705-3545
Phone number: 559-498-9816
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