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1639268089
KEITH ALAN DAVIS
MODESTO, CA
NPI
1639268089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: CA G74408)
Enumeration Date
2006-10-12
Last Update Date
2022-07-21
Business Address
-- KEITH ALAN DAVIS MD
1011 SYLVAN AVE STE C
MODESTO, CA 95350-1693
Phone number: 209-550-4780
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Mailing Address
-- KEITH ALAN DAVIS MD
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-521-6097
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