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1487117131
LEONARD JASON DAVENPORT
HARRISBURG, PA
NPI
1487117131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: PA 41083601)
Enumeration Date
2019-04-10
Last Update Date
2019-04-10
Business Address
Mr. LEONARD JASON DAVENPORT
3109 BRAEBURN LN
HARRISBURG, PA 17110-9117
Phone number: 717-319-6641
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Mailing Address
Mr. LEONARD JASON DAVENPORT
3109 BRAEBURN LN
HARRISBURG, PA 17110-9117
Phone number: 717-319-6641
Copy
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