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1578198156
LEIGH TRISTAN DAVIS
BREMERTON, WA
NPI
1578198156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-03-04
Last Update Date
2020-03-04
Business Address
LEIGH TRISTAN DAVIS SUDPT
4841 AUTO CENTER WAY STE 101
BREMERTON, WA 98312-4388
Phone number: 360-373-1529
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Mailing Address
LEIGH TRISTAN DAVIS SUDPT
4841 AUTO CENTER WAY STE 101
BREMERTON, WA 98312-4388
Phone number: 360-373-1529
Copy
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