COLIN DEANE DAVENPORT

LAFAYETTE, IN
NPI1598545360
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WG0000X Registered Nurse, General Practice
(Licence: IN  28243621A)
Enumeration Date2023-09-29
Last Update Date2023-09-29
Business Address
COLIN DEANE DAVENPORT
1716 HARTFORD ST
LAFAYETTE, IN 47904-2173
Phone number: 317-446-9383
Mailing Address
COLIN DEANE DAVENPORT
14471 DUBLIN DR
CARMEL, IN 46033-7760
Phone number: 131-744-6938
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