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1780365379
WALLACE TERRY DAVIS
MOBILE, AL
NPI
1780365379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AL 192)
Enumeration Date
2023-07-27
Last Update Date
2023-07-27
Business Address
Dr. WALLACE TERRY DAVIS
3316 BENYARD DR
MOBILE, AL 36619-4312
Phone number: 251-421-7652
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Mailing Address
Dr. WALLACE TERRY DAVIS
3316 BENYARD DR
MOBILE, AL 36619-4312
Phone number: 251-421-7652
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