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1518632140
BRIAN DAVENPORT
ST GEORGE, UT
NPI
1518632140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-08-16
Last Update Date
2021-08-16
Business Address
BRIAN DAVENPORT
474 W 200 N # 300
ST GEORGE, UT 84770-4505
Phone number: 435-634-5600
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Mailing Address
BRIAN DAVENPORT
474 W 200 N # 300
ST GEORGE, UT 84770-4505
Phone number: 435-634-5600
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