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1669847018
NICOLE MARIE KEADLE
SANTA CRUZ, CA
NPI
1669847018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-K1511041608)
Enumeration Date
2015-12-10
Last Update Date
2015-12-10
Business Address
Miss NICOLE MARIE KEADLE
8030 SOQUEL AVE SUITE 103
SANTA CRUZ, CA 95062-2096
Phone number: 831-476-1747
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Mailing Address
Miss NICOLE MARIE KEADLE
8030 SOQUEL AVE SUITE 103
SANTA CRUZ, CA 95062-2096
Phone number: 831-476-1747
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