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1659308104
MICHAEL PATRICK DAVENPORT
SHREVEPORT, LA
NPI
1659308104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: LA 464)
Enumeration Date
2006-06-27
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL PATRICK DAVENPORT PHD
1002 HIGHLAND AVE STE 300
SHREVEPORT, LA 71101-4143
Phone number: 318-222-6226
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Mailing Address
Mr. MICHAEL PATRICK DAVENPORT PHD
1002 HIGHLAND AVE STE 300
SHREVEPORT, LA 71101
Phone number: 318-222-6226
Copy
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