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1104470376
DORETHA R DAVIS
SACRAMENTO, CA
NPI
1104470376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-07-26
Last Update Date
2024-10-18
Business Address
DORETHA R DAVIS
2150 STOCKTON BLVD
SACRAMENTO, CA 95817-1337
Phone number: 916-875-1131
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Mailing Address
DORETHA R DAVIS
2150 STOCKTON BLVD
SACRAMENTO, CA 95817-1337
Phone number:
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