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1023144763
ELAINE MARY DAVIDSON
GALT, CA
NPI
1023144763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA VN141423)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
Ms. ELAINE MARY DAVIDSON LVN
143 DAWN CIR
GALT, CA 95632-2607
Phone number: 209-745-9044
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Mailing Address
Ms. ELAINE MARY DAVIDSON LVN
143 DAWN CIR
GALT, CA 95632-2607
Phone number: 209-745-9044
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