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1720447774
GWENDOLYN DAVENPORT
HOPKINSVILLE, KY
NPI
1720447774
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Former Name
GWENDOLYN STAMPER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-02-18
Last Update Date
2016-02-18
Business Address
-- GWENDOLYN DAVENPORT
3999 FORT CAMPBELL BLVD
HOPKINSVILLE, KY 42240-4929
Phone number: 270-886-2205
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Mailing Address
-- GWENDOLYN DAVENPORT
PO BOX 614
HOPKINSVILLE, KY 42241-0614
Phone number: 270-886-2205
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