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1386004950
ERIC A DAVENPORT
LOUISVILLE, KY
NPI
1386004950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: KY 165271)
Enumeration Date
2016-02-25
Last Update Date
2020-10-13
Business Address
ERIC A DAVENPORT RD
411 E CHESTNUT ST
LOUISVILLE, KY 40202-1713
Phone number: 502-588-3400
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Mailing Address
ERIC A DAVENPORT RD
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number: 502-588-3400
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