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Individual
CHRISTINA A DAVENPORT
Active
Individual
CHRISTINA A DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
2010041003
MO
133V00000X
Registered Dietitian
DN-0000246
DE
Other
Enumeration date
06/11/2006
Last updated
02/03/2012
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