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1215711098
MARCUS DANIEL DAVIS
SOUTHGATE, MI
NPI
1215711098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2023-08-22
Last Update Date
2023-08-22
Business Address
MARCUS DANIEL DAVIS
13101 ALLEN RD
SOUTHGATE, MI 48195-2216
Phone number: 734-785-7700
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Mailing Address
MARCUS DANIEL DAVIS
1220 N RADEMACHER ST
DETROIT, MI 48209-2247
Phone number: 313-610-6051
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