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1760606446
KEITH ANTHONY TAYLOR
DIAMOND SPRINGS, CA
NPI
1760606446
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2007-04-12
Last Update Date
2023-06-28
Business Address
KEITH ANTHONY TAYLOR
768 PLEASANT VALLEY RD
DIAMOND SPRINGS, CA 95619-9260
Phone number: 530-621-6245
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Mailing Address
KEITH ANTHONY TAYLOR
1028 SIERRA BLVD # 1
SOUTH LAKE TAHOE, CA 96150-2900
Phone number: 530-573-7800
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