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Individual

BRANDELYN JO AVANTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
906 NORTHBROOK DR, DAVENPORT, IA 52806-3730
(563) 209-8124
Mailing address
2711 W 63RD ST, DAVENPORT, IA 52806-1647
(563) 388-1039

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/13/2020
Last updated
05/13/2020
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