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1457039760
DAVON L FRAZIER
DAVIS, CA
NPI
1457039760
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Professional Name
DAVON LAMAR FRAZIER
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA y3313126)
Enumeration Date
2023-07-06
Last Update Date
2023-07-19
Business Address
Mr. DAVON L FRAZIER
1949 5TH ST
DAVIS, CA 95616-4026
Phone number: 530-753-2566
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Mailing Address
Mr. DAVON L FRAZIER
4735 COWELL BLVD
DAVIS, CA 95618-4461
Phone number:
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