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Individual

CANDICE L DAVENPORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1850 S AVENUE B APT 7C, YUMA, AZ 85364-5166
(928) 580-6396
Mailing address
1850 S AVENUE B APT 7C, YUMA, AZ 85364-5166
(928) 580-6396

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
1055670
AZ

Other

Enumeration date
02/19/2009
Last updated
02/19/2009
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