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Individual

MS. ELIZABETH ANN DAVENPORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
734 CARPENTER PARK APT A, PATUXENT RIVER, MD 20670-1308
(760) 371-5599
Mailing address
734 CARPENTER PARK APT A, PATUXENT RIVER, MD 20670-1308
(760) 371-5599

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
06/11/2007
Last updated
02/05/2009
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