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1407552706
DOUGLAS DEAN DAVIS
VAN NUYS, CA
NPI
1407552706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-02-07
Last Update Date
2023-07-01
Business Address
DOUGLAS DEAN DAVIS
16650 SHERMAN WAY
VAN NUYS, CA 91406-3782
Phone number: 818-901-4836
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Mailing Address
DOUGLAS DEAN DAVIS
16536 BALLINGER ST
NORTH HILLS, CA 91343-1806
Phone number: 818-293-9596
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