POLLY A DAVENPORT-FORTUNE

LA CROSSE, WI
NPI1619972841
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  304)
Enumeration Date2005-06-15
Last Update Date2016-03-25
Business Address
-- POLLY A DAVENPORT-FORTUNE APNP
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
Mailing Address
-- POLLY A DAVENPORT-FORTUNE APNP
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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