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1720746043
ALEXANDRIA DAVENPORT
SHREVEPORT, LA
NPI
1720746043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-12-03
Last Update Date
2021-12-03
Business Address
ALEXANDRIA DAVENPORT
8501 MILLICENT WAY APT 1028
SHREVEPORT, LA 71115-2248
Phone number: 318-588-2999
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Mailing Address
ALEXANDRIA DAVENPORT
8501 MILLICENT WAY APT 1028
SHREVEPORT, LA 71115-2248
Phone number: 318-588-2999
Copy
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