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1477019602
CARL NATHANIEL DAVIS
LYNWOOD, CA
NPI
1477019602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT107439)
Enumeration Date
2019-02-12
Last Update Date
2019-02-12
Business Address
CARL NATHANIEL DAVIS
2640 INDUSTRY WAY
LYNWOOD, CA 90262-4284
Phone number: 310-627-4525
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Mailing Address
CARL NATHANIEL DAVIS
2640 INDUSTRY WAY
LYNWOOD, CA 90262-4284
Phone number: 310-627-4525
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