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1184159709
TREMELL DAVENPORT
LAWTON, OK
NPI
1184159709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OK 103405)
Enumeration Date
2017-04-21
Last Update Date
2017-04-21
Business Address
-- TREMELL DAVENPORT
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507-3002
Phone number: 580-354-5270
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Mailing Address
-- TREMELL DAVENPORT
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507-3002
Phone number: 580-354-5270
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