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1942638960
KEITH D WATERS
TAMPA, FL
NPI
1942638960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2013-10-30
Last Update Date
2015-10-05
Business Address
-- KEITH D WATERS
13101 BRUCE B DOWNS BLVD
TAMPA, FL 33612-3803
Phone number: 813-974-0602
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Mailing Address
-- KEITH D WATERS
13101 BRUCE B DOWNS BLVD
TAMPA, FL 33612-3803
Phone number: 813-974-0602
Copy
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