Individual
MR. LUKE T DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1330 N CLASSEN BLVD STE 311, OKLAHOMA CITY, OK 73106-6834
(405) 605-1460
Mailing address
PO BOX 203, WELLSTON, OK 74881-0203
(405) 314-9146
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/01/2010
Last updated
06/01/2010
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