LESLIE D. DAVENPORT

TAHLEQUAH, OK
NPI1821408410
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  89863)
Enumeration Date2014-05-05
Last Update Date2019-06-04
Business Address
LESLIE D. DAVENPORT APRN
1500 E DOWNING ST STE 214
TAHLEQUAH, OK 74464-3379
Phone number: 918-772-2244
Mailing Address
LESLIE D. DAVENPORT APRN
PO BOX 751
HULBERT, OK 74441-0751
Phone number: 918-772-3390
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