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1619726213
NATHANIEL JOHN DAVIS
KENAI, AK
NPI
1619726213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-05-15
Last Update Date
2024-10-29
Business Address
NATHANIEL JOHN DAVIS CDC1
508 UPLAND ST
KENAI, AK 99611-8026
Phone number: 907-335-7500
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Mailing Address
NATHANIEL JOHN DAVIS CDC1
PO BOX 988
KENAI, AK 99611-0988
Phone number:
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