KEITH VIDRA

UKIAH, CA
NPI1861989865
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2018-04-16
Last Update Date2018-04-16
Business Address
KEITH VIDRA
140 GIBSON ST
UKIAH, CA 95482-3941
Phone number: 707-468-5536
Mailing Address
KEITH VIDRA
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: 707-467-2010
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