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1780179077
KENISHA DAVIS
SPRINGFIELD, OH
NPI
1780179077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-06-28
Last Update Date
2018-06-28
Business Address
KENISHA DAVIS QMHP
525 E HOME RD
SPRINGFIELD, OH 45503-2861
Phone number: 937-328-5308
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Mailing Address
KENISHA DAVIS QMHP
525 E HOME RD
SPRINGFIELD, OH 45503-2861
Phone number: 937-328-5308
Copy
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