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1649226010
GRACE DAVENPORT
SEWELL, NJ
NPI
1649226010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: NJ 40QA00529300)
Enumeration Date
2006-05-26
Last Update Date
2021-02-20
Business Address
GRACE DAVENPORT
600 MEDICAL CENTER DR
SEWELL, NJ 08080-2361
Phone number: 856-582-8700
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Mailing Address
GRACE DAVENPORT
112 AZALEA DR
DEPTFORD, NJ 08096-6637
Phone number: 609-220-5044
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