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1083295190
GAVIN JAMES DAVIS
LAYTON, UT
NPI
1083295190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-04-20
Last Update Date
2023-04-17
Business Address
GAVIN JAMES DAVIS
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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Mailing Address
GAVIN JAMES DAVIS
283 E 300 S
CENTERVILLE, UT 84014-2258
Phone number: 801-897-5604
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