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1841465200
AQUIBI DAVIS
ROSEVILLE, CA
NPI
1841465200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-04-28
Last Update Date
2008-04-28
Business Address
-- AQUIBI DAVIS
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
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Mailing Address
-- AQUIBI DAVIS
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number:
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