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1811447063
DOMINIQUE KEENAN
SACRAMENTO, CA
NPI
1811447063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2016-10-12
Last Update Date
2016-10-12
Business Address
-- DOMINIQUE KEENAN RADT-I
1550 JULIESSE AVE
SACRAMENTO, CA 95815-1803
Phone number: 916-921-6598
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Mailing Address
-- DOMINIQUE KEENAN RADT-I
1550 JULIESSE AVENUE
SACRAMENTO, CA 95815
Phone number: 916-921-6598
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