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1760938534
MICHAEL ANTHONY DAVIS
SAN BERNARDINO, CA
NPI
1760938534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-08-31
Last Update Date
2024-02-21
Business Address
Mr. MICHAEL ANTHONY DAVIS
1652 SHERIDAN RD
SAN BERNARDINO, CA 92407-2817
Phone number: 909-693-6791
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Mailing Address
Mr. MICHAEL ANTHONY DAVIS
1475 E DATE ST APT 118
SAN BERNARDINO, CA 92404-8227
Phone number: 909-541-6505
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