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1093290082
SHAHEEDAH DAVENPORT
BUFFALO, NY
NPI
1093290082
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 332852-1)
Enumeration Date
2018-09-26
Last Update Date
2018-09-26
Business Address
SHAHEEDAH DAVENPORT LPN
63 EUCLID AVE
BUFFALO, NY 14211-2603
Phone number: 716-473-0912
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Mailing Address
SHAHEEDAH DAVENPORT LPN
63 EUCLID AVE
BUFFALO, NY 14211-2603
Phone number: 716-473-0912
Copy
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