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1669604120
CLIFFORD KEITH
CARSON, CA
NPI
1669604120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: CA 190600AP)
Enumeration Date
2009-08-18
Last Update Date
2009-08-18
Business Address
-- CLIFFORD KEITH
637 E ALBERTONI ST #109
CARSON, CA 90746-1539
Phone number: 213-820-1511
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Mailing Address
-- CLIFFORD KEITH
637 E ALBERTONI ST #109
CARSON, CA 90746-1539
Phone number: 213-820-1511
Copy
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