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1073171278
VICTORIA DAVENPORT
WINGATE, NC
NPI
1073171278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-06-03
Last Update Date
2019-06-03
Business Address
VICTORIA DAVENPORT
102 W WILSON ST # 3441
WINGATE, NC 28174-6747
Phone number: 252-327-1060
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Mailing Address
VICTORIA DAVENPORT
102 W WILSON ST # 3441
WINGATE, NC 28174-6747
Phone number:
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