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1447670724
MICHAEL STEPHEN DAVENPORT
PHILADELPHIA, PA
NPI
1447670724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA MT205749)
Enumeration Date
2014-04-24
Last Update Date
2014-06-29
Business Address
Dr. MICHAEL STEPHEN DAVENPORT M.D.
3400 SPRUCE ST 100 CENTREX
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-4000
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Mailing Address
Dr. MICHAEL STEPHEN DAVENPORT M.D.
3400 SPRUCE ST 100 CENTREX
PHILADELPHIA, PA 19104-4238
Phone number:
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