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1659901825
STEVEN ALLEN DAVENPORT
FARMINGTON, NM
NPI
1659901825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM 60646)
Enumeration Date
2020-01-16
Last Update Date
2020-10-07
Business Address
Mr. STEVEN ALLEN DAVENPORT FNP
301 S LAKE ST
FARMINGTON, NM 87401-5619
Phone number: 505-278-8575
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Mailing Address
Mr. STEVEN ALLEN DAVENPORT FNP
405 N MOORE ST
BLOOMFIELD, NM 87413-5580
Phone number: 505-419-7921
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