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1407905102
PAUL DWIGHT DAVENPORT
DYESS AFB, TX
NPI
1407905102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 25530)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
-- PAUL DWIGHT DAVENPORT RPh
697 HOSPITAL RD 7 MDSS SGSAP
DYESS AFB, TX 79607
Phone number: 325-696-6465
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Mailing Address
-- PAUL DWIGHT DAVENPORT RPh
2942 STONECREST DR
ABILENE, TX 79606-3445
Phone number: 325-696-6465
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