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1336832518
CHRIS DAVENPORT
PHOENIX, AZ
NPI
1336832518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-06-01
Last Update Date
2023-06-01
Business Address
CHRIS DAVENPORT
5060 N 19TH AVE STE 419
PHOENIX, AZ 85015-3214
Phone number: 602-849-5002
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Mailing Address
CHRIS DAVENPORT
8914 W ADAM AVE
PEORIA, AZ 85382-2437
Phone number: 702-981-8002
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