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1356639421
MITCHELL R DAVIS
SANTA ROSA, CA
NPI
1356639421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-07-11
Last Update Date
2014-06-30
Business Address
-- MITCHELL R DAVIS
3333 CHANATE RD
SANTA ROSA, CA 95404-1707
Phone number: 707-565-7881
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Mailing Address
-- MITCHELL R DAVIS
3333 CHANATE RD
SANTA ROSA, CA 95404-1707
Phone number: 707-565-7881
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