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1699802355
TIMOTHY LELAND DAVIS
BLOOMINGTON, IN
NPI
1699802355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: IN 20042069A)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY LELAND DAVIS Ph.D.
600 N JORDAN AVE
BLOOMINGTON, IN 47405-3190
Phone number: 812-855-5711
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Mailing Address
Dr. TIMOTHY LELAND DAVIS Ph.D.
600 N JORDAN AVE
BLOOMINGTON, IN 47405-3190
Phone number: 812-855-5711
Copy
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