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1528598042
JEFF DAVIS
SHELTON, WA
NPI
1528598042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-06-18
Last Update Date
2017-06-18
Business Address
JEFF DAVIS
110 W K ST
SHELTON, WA 98584-2944
Phone number: 360-426-1696
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Mailing Address
JEFF DAVIS
110 W K STREET
SHELTON, WA 98584
Phone number:
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