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1073762209
DAVE DAVIS
SAN LUIS OBISPO, CA
NPI
1073762209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-09-11
Last Update Date
2019-07-02
Business Address
Mr. DAVE DAVIS
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4558
Phone number: 805-781-4753
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Mailing Address
Mr. DAVE DAVIS
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4558
Phone number: 805-781-4753
Copy
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