JUSTIN WILLIAM DAVENPORT

KANSAS CITY, MO
NPI1376623462
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: MO  2006022079)
Enumeration Date2006-10-16
Last Update Date2007-07-08
Business Address
-- JUSTIN WILLIAM DAVENPORT O.D.
400 NW BARRY RD
KANSAS CITY, MO 64155-2725
Phone number: 816-468-6006
Mailing Address
-- JUSTIN WILLIAM DAVENPORT O.D.
11103 WEST AVE STE 6
SAN ANTONIO, TX 78213-1370
Phone number: 210-524-6803
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