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1700281417
THOMAS DAVIS
LOS ANGELES, CA
NPI
1700281417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-10-24
Last Update Date
2014-10-24
Business Address
-- THOMAS DAVIS
600 E 7TH ST
LOS ANGELES, CA 90021-1436
Phone number: 562-964-4789
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Mailing Address
-- THOMAS DAVIS
225 GRANDVIEW ST
PASADENA, CA 91104-2114
Phone number: 562-964-4789
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