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1720840861
NATHAN S DAVIS
TARZANA, CA
NPI
1720840861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 24745RAC)
Enumeration Date
2024-01-24
Last Update Date
2024-07-18
Business Address
NATHAN S DAVIS
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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Mailing Address
NATHAN S DAVIS
17628 LOS ALIMOS ST # A
GRANADA HILLS, CA 91344-4618
Phone number: 818-423-1543
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