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1114162732
MICHAEL JAMES DAVIDSON
LOMA LINDA, CA
NPI
1114162732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
(Licence: CA CPO1263)
Enumeration Date
2008-12-10
Last Update Date
2008-12-10
Business Address
Mr. MICHAEL JAMES DAVIDSON
11406 LOMA LINDA DR
LOMA LINDA, CA 92354-3711
Phone number: 909-558-4000
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Mailing Address
Mr. MICHAEL JAMES DAVIDSON
PO BOX 1859
SACRAMENTO, CA 95812-1859
Phone number:
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