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1174705610
CHARLES ROBERT DAVENPORT
VENICE, FL
NPI
1174705610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY7978)
Enumeration Date
2007-11-27
Last Update Date
2011-11-01
Business Address
-- CHARLES ROBERT DAVENPORT Psy.D
1525 TAMIAMI TRL S SUITE 603 A
VENICE, FL 34285-3568
Phone number: 941-321-1971
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Mailing Address
-- CHARLES ROBERT DAVENPORT Psy.D
1525 TAMIAMI TRL S SUITE 603 A
VENICE, FL 34285-3568
Phone number: 941-321-1971
Copy
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