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1114068582
MARY RAE DAVENPORT
GRAND JUNCTION, CO
NPI
1114068582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CO 75918)
Enumeration Date
2007-02-09
Last Update Date
2007-07-08
Business Address
Mrs. MARY RAE DAVENPORT ANP
2748 CROSSROADS BLVD
GRAND JUNCTION, CO 81506-3933
Phone number: 970-255-0900
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Mailing Address
Mrs. MARY RAE DAVENPORT ANP
2748 CROSSROADS BLVD
GRAND JUNCTION, CO 81506-3933
Phone number: 970-255-0900
Copy
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