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1558778936
WILLIE DAVIS
HATTIESBIURG, MS
NPI
1558778936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251C00000X Day Training, Developmentally Disabled Services
(Licence: IL 1907)
Enumeration Date
2014-07-17
Last Update Date
2014-07-17
Business Address
Mr. WILLIE DAVIS RKT
701 DUKE AVE.
HATTIESBIURG, MS 39401
Phone number: 601-550-1164
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Mailing Address
Mr. WILLIE DAVIS RKT
701 DUKE AVE
HATTIESBURG, MS 39401-4060
Phone number: 601-550-1164
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