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1710645809
SAMANTHA LOUISE DAVIS
VICTORVILLE, CA
NPI
1710645809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-12-06
Last Update Date
2021-12-06
Business Address
SAMANTHA LOUISE DAVIS RADTi
16248 VICTOR ST
VICTORVILLE, CA 92395-3934
Phone number: 760-243-7151
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Mailing Address
SAMANTHA LOUISE DAVIS RADTi
16248 VICTOR ST
VICTORVILLE, CA 92395-3934
Phone number: 760-243-7151
Copy
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