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1194449314
JOHN DAVENPORT
FREDERICKSBURG, VA
NPI
1194449314
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-09-30
Last Update Date
2022-09-30
Business Address
JOHN DAVENPORT
1301 COLLEGE AVE
FREDERICKSBURG, VA 22401-5300
Phone number: 540-654-1874
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Mailing Address
JOHN DAVENPORT
10108 BALLSTON RD
FREDERICKSBURG, VA 22408-0287
Phone number: 434-221-7392
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