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Individual

MS. PRECIOUS EBONY DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPS

Contact information

Practice address
1119 RICHMOND AVE, KANSAS CITY, KS 66104-5945
(913) 290-4110
(816) 537-8605
Mailing address
312 SW GREENWICH DR STE 626, LEES SUMMIT, MO 64082-4408
(913) 602-0106
(816) 537-8605

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
KS

Other

Enumeration date
09/04/2020
Last updated
09/04/2020
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