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1720406218
RICHARD KEITH POTTER
SANTA CLARITA, CA
NPI
1720406218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-04-01
Last Update Date
2014-04-01
Business Address
Mr. RICHARD KEITH POTTER
24460 LYONS AVE
SANTA CLARITA, CA 91321-2347
Phone number: 661-253-9400
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Mailing Address
Mr. RICHARD KEITH POTTER
24460 LYONS AVE
SANTA CLARITA, CA 91321-2347
Phone number: 661-253-9400
Copy
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