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Individual
TANYA C KEOUGH
Active
Individual
TANYA C KEOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
R1381730320
CA
172V00000X
Community Health Worker
—
—
Other
Enumeration date
07/17/2020
Last updated
08/05/2021
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