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1306230248
DANIEL JAMES DAVENPORT
MODESTO, CA
NPI
1306230248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 42389)
Enumeration Date
2015-03-27
Last Update Date
2015-03-27
Business Address
DANIEL JAMES DAVENPORT P.T.
1917 COFFEE RD.
MODESTO, CA 95355
Phone number: 209-549-4625
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Mailing Address
DANIEL JAMES DAVENPORT P.T.
15103 COSTELA ST
SAN LEANDRO, CA 94579-1526
Phone number:
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