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1184924375
CHARLES S. DAVIS
RENO, NV
NPI
1184924375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-10-22
Last Update Date
2023-09-14
Business Address
CHARLES S. DAVIS
4600 KIETZKE LN BLDG D
RENO, NV 89502-5033
Phone number: 775-688-1612
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Mailing Address
CHARLES S. DAVIS
4600 KIETZKE LN BLDG D
RENO, NV 89502-5033
Phone number: 775-221-6766
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