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1164514121
CLIFTON DAVIS
LOMA LINDA, CA
NPI
1164514121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
-- CLIFTON DAVIS
11201 BENTON ST
LOMA LINDA, CA 92357-1000
Phone number: 909-825-7084
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Mailing Address
-- CLIFTON DAVIS
11201 BENTON ST
LOMA LINDA, CA 92357-1000
Phone number: 909-825-7084
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