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1750845418
GREGORY DAVENPORT
LOS ANGELES, CA
NPI
1750845418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-01-28
Last Update Date
2019-01-28
Business Address
GREGORY DAVENPORT
470 E 3RD ST STE C
LOS ANGELES, CA 90013-1630
Phone number: 213-620-5712
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Mailing Address
GREGORY DAVENPORT
470 E 3RD ST STE C
LOS ANGELES, CA 90013-1630
Phone number: 213-620-5712
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