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1053831156
MATTHEW LESTER DAVENPORT
FORT RUCKER, AL
NPI
1053831156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: TX E1714562)
Enumeration Date
2017-06-21
Last Update Date
2022-07-21
Business Address
MATTHEW LESTER DAVENPORT NREMT
BLDG 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362-5333
Phone number: 335-255-6919
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Mailing Address
MATTHEW LESTER DAVENPORT NREMT
BLDG 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362-5333
Phone number: 335-255-6919
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