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Individual

WILLIE MICHAEL DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HEARING AID DISPENSE

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HASP10135362
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HASP10135362
OREGON LICENSE NUMBER
OR
Enumeration date
11/10/2010
Last updated
11/10/2010
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