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Individual

DR. BRIAN HALLER KEENAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ND

Contact information

Practice address
1495 PALM ST, SAN LUIS OBISPO, CA 93401-2937
(805) 541-2614
(805) 548-0814
Mailing address
1495 PALM ST, SAN LUIS OBISPO, CA 93401-2937
(805) 541-2614
(805) 548-0814

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND884
CA

Other

Enumeration date
03/29/2017
Last updated
03/29/2017
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