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1447905930
LORELL DAVIS
SAN DIEGO, CA
NPI
1447905930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-02-14
Last Update Date
2022-02-14
Business Address
LORELL DAVIS
34101 FARENHOLT AVE # BLDNG14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-6183
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Mailing Address
LORELL DAVIS
819 D AVE UNIT 104
NATIONAL CITY, CA 91950-3465
Phone number: 404-825-1617
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