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1720501000
ANGELA RENEE DAVIS
MARYSVILLE, CA
NPI
1720501000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-07-19
Last Update Date
2017-07-19
Business Address
ANGELA RENEE DAVIS
1496 N BEALE RD
MARYSVILLE, CA 95901
Phone number: 530-749-8640
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Mailing Address
ANGELA RENEE DAVIS
1496 N BEALE RD
MARYSVILLE, CA 95901-6205
Phone number:
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