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1811343650
JACK B KEENAN
PHOENIX, AZ
NPI
1811343650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-05-11
Last Update Date
2016-05-11
Business Address
Dr. JACK B KEENAN M.D.
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number: 602-344-5011
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Mailing Address
Dr. JACK B KEENAN M.D.
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number:
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