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1760768790
KEISHA WHITEHURST
UPLAND, CA
NPI
1760768790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-10-21
Last Update Date
2019-05-29
Business Address
KEISHA WHITEHURST
1260 E ARROW HWY
UPLAND, CA 91786-4982
Phone number: 909-932-1069
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Mailing Address
KEISHA WHITEHURST
1260 E ARROW HWY
UPLAND, CA 91786-4982
Phone number: 909-932-1069
Copy
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