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1487662813
JONATHAN ROBERT DAVIS
LEBANON, PA
NPI
1487662813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: PA PS04329L)
Enumeration Date
2006-08-03
Last Update Date
2007-07-08
Business Address
-- JONATHAN ROBERT DAVIS
200 N 7TH ST
LEBANON, PA 17046
Phone number: 717-272-1653
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Mailing Address
-- JONATHAN ROBERT DAVIS
200 NORTH 7TH STREET
LEBANON, PA 17046
Phone number: 717-273-1710
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