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1255716809
DANIELLE ALEXANDRA DAVENPORT
WATERLOO, IA
NPI
1255716809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA R-10412)
Enumeration Date
2015-07-24
Last Update Date
2015-07-24
Business Address
DANIELLE ALEXANDRA DAVENPORT MD
2055 KIMBALL AVE SUITE 101
WATERLOO, IA 50702-5047
Phone number: 319-272-2374
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Mailing Address
DANIELLE ALEXANDRA DAVENPORT MD
2055 KIMBALL AVE SUITE 101
WATERLOO, IA 50702-5047
Phone number: 319-272-2374
Copy
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