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1477323517
TRACEY DAVENPORT
ATHENS, AL
NPI
1477323517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-139829)
Enumeration Date
2024-01-08
Last Update Date
2024-01-08
Business Address
TRACEY DAVENPORT CRNP
611 W MARKET ST
ATHENS, AL 35611-2460
Phone number: 256-232-1620
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Mailing Address
TRACEY DAVENPORT CRNP
2101 JENNIFER AVE
MUSCLE SHOALS, AL 35661-2658
Phone number: 256-992-4542
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