JACOB DAVENPORT

DETROIT, MI
NPI1124962113
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: MI  4704354541)
Enumeration Date2026-04-18
Last Update Date2026-04-18
Business Address
JACOB DAVENPORT
4001 W MCNICHOLS RD
DETROIT, MI 48221-3038
Phone number: 313-993-1245
Mailing Address
JACOB DAVENPORT
9610 FARMINGTON RD
LIVONIA, MI 48150-2742
Phone number:
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