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1336564475
TERRELL R DAVIS
FRESNO, CA
NPI
1336564475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-02-26
Last Update Date
2019-01-04
Business Address
Mr. TERRELL R DAVIS CADC II
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706
Phone number: 553-264-5096
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Mailing Address
Mr. TERRELL R DAVIS CADC II
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706-1225
Phone number: 559-264-5096
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