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Individual

DAVON DEMITRIUS DANIELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7215 DORCHESTER CT, LINCOLN, NE 68521-5853
(712) 899-9004
Mailing address
1140 SW 27TH ST APT 302, LINCOLN, NE 68522-1056
(712) 899-9004

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/11/2025
Last updated
02/11/2025
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