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1023648409
JUAN DAVIS
NORTH HOLLYWOOD, CA
NPI
1023648409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-01-24
Last Update Date
2020-01-24
Business Address
JUAN DAVIS
11027 BURBANK BLVD
NORTH HOLLYWOOD, CA 91601-2431
Phone number: 818-985-8323
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Mailing Address
JUAN DAVIS
11027 BURBANK BLVD
NORTH HOLLYWOOD, CA 91601-2431
Phone number:
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