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Debra Davenport

NPI Registration Record

Provider / OrganizationNPIDate Certified
DEBRA DAVENPORT11741213622020-10-11
Entity TypeIndividual
Provider Name Debra Davenport
Practice Office Address27600 HIGHWAY 1804
BALDWIN, ND US
Practice Office Telephone7017346098
Mailing Address27600 HIGHWAY 1804
BALDWIN, ND 585219744 US
Business Telephone7017346098
HPT Codes
CodeLicense NoState
3747P1801X PRIMARY
OPI Codes

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