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1972388296
TIMOTHY DWAYNE DAVIS
EUGENE, OR
NPI
1972388296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-08-25
Last Update Date
2023-08-25
Business Address
TIMOTHY DWAYNE DAVIS
2675 MLK JR BLVD
EUGENE, OR 97401-5899
Phone number: 458-215-5464
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Mailing Address
TIMOTHY DWAYNE DAVIS
2675 MLK JR BLVD
EUGENE, OR 97401-5899
Phone number: 458-215-5464
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