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Individual

GERMAINE DAVENPORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CDM CFPP SNS CPFM

Contact information

Practice address
1899 S CALLE DEL MARCO, CASA GRANDE, AZ 85194-9419
(520) 280-4886
Mailing address
1899 S CALLE DEL MARCO, CASA GRANDE, AZ 85194-9419
(520) 280-4886

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary

Other

Enumeration date
05/17/2018
Last updated
05/17/2018
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