WINSTON D DAVENPORT

CORVALLIS, OR
NPI1710510185
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  AT-AT-10171037)
Enumeration Date2020-02-13
Last Update Date2020-02-13
Business Address
Mr. WINSTON D DAVENPORT ATC
325 VALLEY FOOTBALL CTR
CORVALLIS, OR 97331-8544
Phone number: 541-243-4004
Mailing Address
Mr. WINSTON D DAVENPORT ATC
1597 NW TERRACEGREEN PL
CORVALLIS, OR 97330-1347
Phone number: 541-243-4004
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