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1053376723
MARION DAVENPORT
MELBOURNE, FL
NPI
1053376723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: FL ARNP1415672)
Enumeration Date
2006-04-18
Last Update Date
2010-07-01
Business Address
-- MARION DAVENPORT ARNP
720 E NEW HAVEN AVENUE
MELBOURNE, FL 32901
Phone number: 321-724-4545
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Mailing Address
-- MARION DAVENPORT ARNP
930 S HARBOR CITY BLVD
MELBOURNE, FL 32901
Phone number: 321-725-5050
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