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1366226474
AMANDA DAVENPORT
SAN DIEGO, CA
NPI
1366226474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 304560)
Enumeration Date
2023-08-21
Last Update Date
2023-08-21
Business Address
AMANDA DAVENPORT
2495 TRUXTUN RD STE 200
SAN DIEGO, CA 92106-6159
Phone number: 858-755-5200
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Mailing Address
AMANDA DAVENPORT
380 STEVENS AVE STE 314
SOLANA BEACH, CA 92075-2069
Phone number: 858-755-5200
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