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1023664224
CLARENCE DAVIS
LOS ANGELES, CA
NPI
1023664224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-08-13
Last Update Date
2019-08-13
Business Address
CLARENCE DAVIS
155 BIMINI PL
LOS ANGELES, CA 90004-5902
Phone number: 213-388-5423
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Mailing Address
CLARENCE DAVIS
155 BIMINI PL
LOS ANGELES, CA 90004-5902
Phone number: 213-388-5423
Copy
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