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1205919859
BETHANY ANNE DAVENPORT
MILAN, TN
NPI
1205919859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 2075)
Enumeration Date
2006-10-24
Last Update Date
2007-07-08
Business Address
-- BETHANY ANNE DAVENPORT P.T.
8017 DOGWOOD LN
MILAN, TN 38358
Phone number: 731-686-8373
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Mailing Address
-- BETHANY ANNE DAVENPORT P.T.
146 WEATHERIDGE DR
JACKSON, TN 38305-9651
Phone number: 731-686-8373
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