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1215539788
MICHEAL DAVIS
CHARLOTTE, NC
NPI
1215539788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: NC 2019-3729-01)
Enumeration Date
2020-11-10
Last Update Date
2021-09-15
Business Address
MICHEAL DAVIS
6047 TYVOLA GLEN CIR STE 113
CHARLOTTE, NC 28217-6431
Phone number: 803-431-5044
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Mailing Address
MICHEAL DAVIS
6047 TYVOLA GLEN CIR STE 113
CHARLOTTE, NC 28217-6431
Phone number: 803-431-5044
Copy
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