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1619918414
CHARLES DAVENPORT
METAIRIE, LA
NPI
1619918414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: LA 022593)
Enumeration Date
2006-06-10
Last Update Date
2010-06-10
Business Address
-- CHARLES DAVENPORT MD
3510 N CAUSEWAY BLVD
METAIRIE, LA 70002-3531
Phone number: 504-779-5568
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Mailing Address
-- CHARLES DAVENPORT MD
255 W MICHIGAN AVE PO BOX 1123
JACKSON, MI 49201-2218
Phone number: 517-787-6440
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