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1912755901
NICOLE DAVIS
TUCSON, AZ
NPI
1912755901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: AZ BH9450)
Enumeration Date
2024-05-07
Last Update Date
2024-05-07
Business Address
NICOLE DAVIS
3170 S THREE D CT
TUCSON, AZ 85713-6360
Phone number: 520-440-9405
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Mailing Address
NICOLE DAVIS
4000 N CENTRAL AVE STE 100
PHOENIX, AZ 85012-3520
Phone number: 602-859-7794
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