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1730311580
HASSAN I DAVIS
LEMON GROVE, CA
NPI
1730311580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-08-12
Last Update Date
2009-08-12
Business Address
Mr. HASSAN I DAVIS M.S.
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-7303
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Mailing Address
Mr. HASSAN I DAVIS M.S.
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-7303
Copy
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