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1154996270
LUCAS DAVENPORT
SACO, ME
NPI
1154996270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ME PT5936)
Enumeration Date
2021-05-21
Last Update Date
2021-11-16
Business Address
LUCAS DAVENPORT PT
15 LUND RD
SACO, ME 04072-1806
Phone number: 207-282-4210
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Mailing Address
LUCAS DAVENPORT PT
324 GANNETT DR STE 200
SOUTH PORTLAND, ME 04106-3266
Phone number: 207-482-7800
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