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1659807923
JAMES DAVIS
CHEYENNE, WY
NPI
1659807923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-05-05
Last Update Date
2018-06-08
Business Address
JAMES DAVIS PPC
2526 SEYMOUR AVE
CHEYENNE, WY 82001
Phone number: 307-634-9653
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Mailing Address
JAMES DAVIS PPC
510 W 29TH ST
CHEYENNE, WY 82001-2760
Phone number: 307-426-4728
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