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1801020722
CANDACE S DAVENPORT
CARIBOU, ME
NPI
1801020722
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ME OT1682)
Enumeration Date
2009-05-06
Last Update Date
2009-05-06
Business Address
Mr. CANDACE S DAVENPORT OTR/L
163 VAN BUREN RD SUITE 1
CARIBOU, ME 04736-3567
Phone number: 207-498-1618
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Mailing Address
Mr. CANDACE S DAVENPORT OTR/L
30 ELIZABETH ST
PRESQUE ISLE, ME 04769-2521
Phone number: 207-764-5972
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