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Marcus James Davis

Case Manager/Care Coordinator in Norfolk, NE. Individual provider (NPI-1).

NPI number1962086009
StatusActive
Last updated in NPPESMay 5, 2021

Details

NPI
1962086009
Entity type
Individual (NPI-1)
Name
Marcus James Davis
Sex
Male
Sole proprietor
No
Enumeration date
May 5, 2021
Certification date
May 5, 2021
Last updated
May 5, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

900 W Norfolk Ave
Norfolk, NE 68701-5006

Phone 402-370-3140

Mailing address

900 W Norfolk Ave
Norfolk, NE 68701-5006

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