Individual
VINCE DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7352 N 165TH ST, BENNINGTON, NE 68007-2834
(402) 708-8716
Mailing address
7352 N 165TH ST, BENNINGTON, NE 68007-2834
(402) 708-8716
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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