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1457786618
GEORGE RAE DAVIS
YAKIMA, WA
NPI
1457786618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00003371)
Enumeration Date
2013-09-06
Last Update Date
2013-09-06
Business Address
Mr. GEORGE RAE DAVIS
315 N. SECOND STREET
YAKIMA, WA 98901
Phone number: 509-469-9366
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Mailing Address
Mr. GEORGE RAE DAVIS
PO BOX 376 315 N. SECOND STREET
YAKIMA, WA 98901
Phone number: 509-469-9366
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