DAVENPORT FAMILY MEDICAL CLINIC LLC

DERIDDER, LA
NPI1063642114
Entity TypeOrganization
Authorized ContactPEARRE JONES DAVENPORT
Owner
337-460-0690
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2009-07-23
Last Update Date2009-07-23
Business Address
DAVENPORT FAMILY MEDICAL CLINIC LLC
101 W 6TH ST
DERIDDER, LA 70634-4963
Phone number: 337-460-0690
Mailing Address
DAVENPORT FAMILY MEDICAL CLINIC LLC
101 W 6TH ST
DERIDDER, LA 70634-4963
Phone number: 337-460-0690
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