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1598154502
JOHANNA DAVIS
DAGSBORO, DE
NPI
1598154502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: MD 140460)
Enumeration Date
2015-01-14
Last Update Date
2015-01-14
Business Address
-- JOHANNA DAVIS
29028 HUDSON RD
DAGSBORO, DE 19939-3837
Phone number: 443-496-6011
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Mailing Address
-- JOHANNA DAVIS
29028 HUDSON RD
DAGSBORO, DE 19939-3837
Phone number: 443-496-6011
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