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1760890990
MELAN DAVENPORT
APO, AP
NPI
1760890990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2014-07-31
Last Update Date
2018-04-25
Business Address
MELAN DAVENPORT USAF IDMT
UNIT 14010
APO, AP 96543-4010
Phone number: 671-366-4288
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Mailing Address
MELAN DAVENPORT USAF IDMT
UNIT 14010
APO, AP 96543-4010
Phone number:
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