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1619227592
AMBER NOEL DAVENPORT
PORTAGE, MI
NPI
1619227592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601006455)
Enumeration Date
2012-09-18
Last Update Date
2020-04-02
Business Address
AMBER NOEL DAVENPORT PA-C
245 W CENTRE AVE
PORTAGE, MI 49024-5331
Phone number: 269-323-2450
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Mailing Address
AMBER NOEL DAVENPORT PA-C
825 N CENTER AVENUE
GAYLORD, MI 49735
Phone number: 989-731-7708
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