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1669083754
DARRELL DAVIS
LOS ANGELES, CA
NPI
1669083754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1341970319)
Enumeration Date
2020-08-12
Last Update Date
2020-08-12
Business Address
DARRELL DAVIS RADTI
9705 HOLMES AVE
LOS ANGELES, CA 90002-3031
Phone number: 323-249-9097
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Mailing Address
DARRELL DAVIS RADTI
9705 HOLMES AVE
LOS ANGELES, CA 90002-3031
Phone number: 323-249-9097
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