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1316776354
CRISTALETTE ANN DAVENPORT
FORT BELVOIR, VA
NPI
1316776354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: VA 0002080913)
Enumeration Date
2024-07-29
Last Update Date
2024-07-29
Business Address
CRISTALETTE ANN DAVENPORT LPN
9300 DEWITT LOOP
FORT BELVOIR, VA 22060-5285
Phone number: 571-231-1402
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Mailing Address
CRISTALETTE ANN DAVENPORT LPN
2014 HORIZON CT APT 202
WOODBRIDGE, VA 22191-3934
Phone number: 732-644-5691
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