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1932649589
KEITH DAVIS
FAIRFIELD, CA
NPI
1932649589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2017-03-01
Last Update Date
2017-03-01
Business Address
KEITH DAVIS
1735 ENTERPRISE DR
FAIRFIELD, CA 94533-6822
Phone number: 707-425-1799
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Mailing Address
KEITH DAVIS
1735 ENTERPRISE DR
FAIRFIELD, CA 94533-6822
Phone number: 707-425-1799
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