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1134338700
ERIC SCOTT DAVIS
CHULA VISTA, CA
NPI
1134338700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
-- ERIC SCOTT DAVIS
290 DEL MAR AVE
CHULA VISTA, CA 91910-2722
Phone number: 619-395-6132
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Mailing Address
-- ERIC SCOTT DAVIS
290 DEL MAR AVE
CHULA VISTA, CA 91910-2722
Phone number: 619-395-6132
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