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Individual

ASHLEY LYNN DAVENPORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2160 MAPLE HILL CT, LAKELAND, FL 33811-1483
(863) 205-8879
Mailing address
2160 MAPLE HILL CT, LAKELAND, FL 33811-1483

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
FL

Other

Enumeration date
02/23/2020
Last updated
02/23/2020
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