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1922323344
BRUCE DAVIS
APPLETON, WI
NPI
1922323344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15538-131)
Enumeration Date
2010-03-29
Last Update Date
2010-03-29
Business Address
-- BRUCE DAVIS SAC
4000 W SPENCER ST
APPLETON, WI 54914-4015
Phone number: 920-735-9010
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Mailing Address
-- BRUCE DAVIS SAC
4000 W. SPENCER ST.
APPLETON, WI 54914
Phone number: 920-735-9010
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