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1871895516
BRET B DAVIS
PROVO, UT
NPI
1871895516
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 6962782-6006)
Enumeration Date
2010-12-01
Last Update Date
2010-12-01
Business Address
Mr. BRET B DAVIS LSAC
151 S UNIVERSITY AVE SUITE 1500
PROVO, UT 84601-4427
Phone number: 801-851-7194
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Mailing Address
Mr. BRET B DAVIS LSAC
744 W 210 N
OREM, UT 84057-4526
Phone number:
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