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Individual

MARK DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3000 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3718
(202) 581-0490
Mailing address
3000 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3718
(202) 581-0490

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/23/2015
Last updated
01/23/2015
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