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1144843749
EBONY SHEALEASE DAVIS
CERES, CA
NPI
1144843749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-05-19
Last Update Date
2020-05-19
Business Address
EBONY SHEALEASE DAVIS
1768 MITCHELL RD STE 301
CERES, CA 95307-2156
Phone number: 209-353-4838
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Mailing Address
EBONY SHEALEASE DAVIS
1768 MITCHELL RD STE 301
CERES, CA 95307-2156
Phone number: 209-353-4838
Copy
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