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1306080130
DENNIS ROY DAVENPORT
PARAGOULD, AR
NPI
1306080130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-04-23
Last Update Date
2018-05-18
Business Address
Mr. DENNIS ROY DAVENPORT MHPP
1011 WEST MORGAN STREET
PARAGOULD, AR 72450
Phone number: 870-335-9483
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Mailing Address
Mr. DENNIS ROY DAVENPORT MHPP
1815 PLEASANT GROVER BLVD
JONESBORO, AR 72404
Phone number: 870-933-6886
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