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1205058054
MILES ALLAN DAVIS
STOCKTON, CA
NPI
1205058054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT 33161)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Mr. MILES ALLAN DAVIS P.T.
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-953-7577
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Mailing Address
Mr. MILES ALLAN DAVIS P.T.
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-953-7577
Copy
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