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1972111870
BRENT P DAVIS
SAN DIEGO, CA
NPI
1972111870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WE0003X Registered Nurse, Emergency
(Licence: CA 584068)
Enumeration Date
2020-07-16
Last Update Date
2020-07-16
Business Address
BRENT P DAVIS
4309 3RD AVE
SAN DIEGO, CA 92103-1407
Phone number: 619-876-4502
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Mailing Address
BRENT P DAVIS
4309 3RD AVE
SAN DIEGO, CA 92103-1407
Phone number: 619-876-4502
Copy
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