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1912500513
KEENAN RAY TOM SMITH
UKIAH, CA
NPI
1912500513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225C00000X Rehabilitation Counselor
Enumeration Date
2020-11-17
Last Update Date
2020-11-17
Business Address
KEENAN RAY TOM SMITH
776 S STATE ST STE 107
UKIAH, CA 95482-5858
Phone number: 707-463-4915
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Mailing Address
KEENAN RAY TOM SMITH
776 S STATE ST STE 107
UKIAH, CA 95482-5858
Phone number: 707-463-4915
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