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1063288066
SHALANA DAVENPORT
LITTLE ROCK, AR
NPI
1063288066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1744P3200X Specialist, Prosthetics Case Management
Additional Taxonomies
224P00000X Prosthetist
Enumeration Date
2023-11-30
Last Update Date
2023-11-30
Business Address
SHALANA DAVENPORT
400 W CAPITOL AVE STE 1700
LITTLE ROCK, AR 72201-3438
Phone number: 501-500-2266
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Mailing Address
SHALANA DAVENPORT
400 W CAPITOL AVE STE 1700
LITTLE ROCK, AR 72201-3438
Phone number: 501-500-2266
Copy
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