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1699335133
KEITH SCOTT MCCAVIT
WASILLA, AK
NPI
1699335133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-06-17
Last Update Date
2020-01-29
Business Address
KEITH SCOTT MCCAVIT BS
591 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Phone number: 907-313-1333
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Mailing Address
KEITH SCOTT MCCAVIT BS
591 S KNIK GOOSE BAY RD
WASILLA, AK 99654-8062
Phone number: 907-313-1333
Copy
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