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1215380183
MIKE DAVIS
MADERA, CA
NPI
1215380183
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Professional Name
MIKE DAVIS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 364885)
Enumeration Date
2016-07-15
Last Update Date
2016-07-15
Business Address
-- MIKE DAVIS
2301 CAMDEN WAY
MADERA, CA 93637-4210
Phone number: 559-288-2976
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Mailing Address
-- MIKE DAVIS
2301 CAMDEN WAY
MADERA, CA 93637-4210
Phone number: 559-288-2976
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