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Individual
MICHAEL DAVIS
Active
Individual
MICHAEL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
C.2002418
OH
Other
Enumeration date
05/04/2020
Last updated
10/06/2021
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