JUSTUS DAVENPORT

OKLAHOMA CITY, OK
NPI1053704775
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-03-05
Last Update Date2015-03-05
Business Address
-- JUSTUS DAVENPORT
6501 BROADWAY EXT SUITE 180
OKLAHOMA CITY, OK 73116-8239
Phone number: 405-607-4041
Mailing Address
-- JUSTUS DAVENPORT
18040 NE 10TH ST
HARRAH, OK 73045-8115
Phone number:
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