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1629048756
LOTTIE S DAVENPORT
JASPER, GA
NPI
1629048756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN149848)
Enumeration Date
2006-01-23
Last Update Date
2008-08-29
Business Address
-- LOTTIE S DAVENPORT FNP-C
51 GORDON RD STE 201
JASPER, GA 30143-7104
Phone number: 706-692-9768
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Mailing Address
-- LOTTIE S DAVENPORT FNP-C
51 GORDON RD STE 201
JASPER, GA 30143-7104
Phone number: 706-692-9768
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