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1801275136
DENNIS DAVIDSON
SAN JOSE, CA
NPI
1801275136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-05-19
Last Update Date
2015-05-19
Business Address
-- DENNIS DAVIDSON
650 S BASCOM AVE
SAN JOSE, CA 95128-2601
Phone number: 408-283-8555
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Mailing Address
-- DENNIS DAVIDSON
650 S BASCOM AVE
SAN JOSE, CA 95128-2601
Phone number: 408-283-8555
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