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1679569636
MARK B DAVENPORT
FULLERTON, CA
NPI
1679569636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A40119)
Enumeration Date
2005-09-26
Last Update Date
2020-10-19
Business Address
MARK B DAVENPORT M.D.
1835 SUNNY CREST DR
FULLERTON, CA 92835-3616
Phone number: 714-446-5101
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Mailing Address
MARK B DAVENPORT M.D.
1835 SUNNY CREST DR
FULLERTON, CA 92835-3616
Phone number:
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