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Individual

MICHAEL DAVIS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3245 HARNESS DR, FLORISSANT, MO 63033-3715
(951) 219-8747
Mailing address
3245 HARNESS DR, FLORISSANT, MO 63033-3715

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
02/02/2016
Last updated
02/02/2016
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