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1245797018
PERRY KEVIN DAVIS
SAN DIEGO, CA
NPI
1245797018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-02-27
Last Update Date
2019-06-11
Business Address
PERRY KEVIN DAVIS CAADC II
3767 CENTRAL AVE
SAN DIEGO, CA 92105-2599
Phone number: 619-278-0777
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Mailing Address
PERRY KEVIN DAVIS CAADC II
3767 CENTRAL AVE
SAN DIEGO, CA 92105-2599
Phone number: 619-278-0777
Copy
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