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1265296412
MARK ANTHONY DAVIS
WALLA WALLA, WA
NPI
1265296412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA AP61526319)
Enumeration Date
2024-02-08
Last Update Date
2024-02-08
Business Address
Mr. MARK ANTHONY DAVIS PMHNP-BC
1520 KELLY PL
WALLA WALLA, WA 99362-8607
Phone number: 509-575-4084
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Mailing Address
Mr. MARK ANTHONY DAVIS PMHNP-BC
1520 KELLY PL
WALLA WALLA, WA 99362-8607
Phone number: 509-575-4084
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