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1881178796
BRIAN WAYNE DAVIS
SMYRNA, DE
NPI
1881178796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: DE U2-0000204)
Enumeration Date
2018-09-18
Last Update Date
2018-09-18
Business Address
BRIAN WAYNE DAVIS cota/l
20 W FRAZIER ST
SMYRNA, DE 19977-1416
Phone number: 302-653-2758
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Mailing Address
BRIAN WAYNE DAVIS cota/l
215 PITCH KETTLE CT
MAGNOLIA, DE 19962-1592
Phone number: 302-236-7310
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