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1578046538
JERRY L DAVIS
BIRMINGHAM, AL
NPI
1578046538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-18-65142)
Enumeration Date
2018-09-14
Last Update Date
2019-06-11
Business Address
JERRY L DAVIS RBT
4778 OVERTON RD
BIRMINGHAM, AL 35210-3803
Phone number: 205-957-0294
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Mailing Address
JERRY L DAVIS RBT
4778 OVERTON RD
BIRMINGHAM, AL 35210-3803
Phone number: 205-957-0294
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