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1770723900
PHILIP MICHAEL DAVIS
VALLEJO, CA
NPI
1770723900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-02-27
Last Update Date
2009-02-27
Business Address
-- PHILIP MICHAEL DAVIS
1017 TENNESSEE ST
VALLEJO, CA 94590-4547
Phone number: 707-647-1520
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Mailing Address
-- PHILIP MICHAEL DAVIS
1017 TENNESSEE ST
VALLEJO, CA 94590-4547
Phone number:
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