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1528526035
GRACIE B DAVENPORT
CHATTANOOGA, TN
NPI
1528526035
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Former Name
GRACIE V BAKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 12171)
Enumeration Date
2019-03-05
Last Update Date
2023-10-04
Business Address
GRACIE B DAVENPORT DPT
2444 BROAD ST
CHATTANOOGA, TN 37408-2909
Phone number: 276-791-1034
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Mailing Address
GRACIE B DAVENPORT DPT
4113 INDIGO GLEN LN
CHATTANOOGA, TN 37419-2161
Phone number: 276-791-1034
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