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1396377354
JADE DAVENPORT
OKLAHOMA CITY, OK
NPI
1396377354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 5732)
Enumeration Date
2020-02-07
Last Update Date
2020-02-07
Business Address
JADE DAVENPORT
11101 HEFNER POINTE DR STE 207
OKLAHOMA CITY, OK 73120-5054
Phone number: 405-720-9812
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Mailing Address
JADE DAVENPORT
4219 S WESTERN AVE
OKLAHOMA CITY, OK 73109-3410
Phone number:
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