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1265085880
BRIAN ANTHONY DAVENPORT
MUSCLE SHOALS, AL
NPI
1265085880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-145737)
Enumeration Date
2019-07-23
Last Update Date
2024-08-14
Business Address
BRIAN ANTHONY DAVENPORT CRNP
2400 AVALON AVE
MUSCLE SHOALS, AL 35661-3187
Phone number: 256-386-0808
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Mailing Address
BRIAN ANTHONY DAVENPORT CRNP
PO BOX 2550
MUSCLE SHOALS, AL 35662-2550
Phone number: 256-386-0808
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