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1730487844
M PATRICK DAVENPORT APPC
SHREVEPORT, LA
NPI
1730487844
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Entity Type
Organization
Authorized Contact
MICHAEL PATRICK DAVENPORT
Owner
318-518-5001
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: LA 464)
Enumeration Date
2011-03-14
Last Update Date
2011-05-10
Business Address
M PATRICK DAVENPORT APPC
1002 HIGHLAND AVE 3RD FLOOR
SHREVEPORT, LA 71101-4143
Phone number: 318-222-6226
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Mailing Address
M PATRICK DAVENPORT APPC
1002 HIGHLAND AVE 2ND FLOOR
SHREVEPORT, LA 71101-4143
Phone number: 318-222-6226
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