CASEY DAVENPORT

HOLLISTER, CA
NPI1821448382
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2016-06-15
Last Update Date2016-06-15
Business Address
-- CASEY DAVENPORT
1850 SAN BENITO ST
HOLLISTER, CA 95023-4899
Phone number: 831-636-2121
Mailing Address
-- CASEY DAVENPORT
PO BOX 1269
HOLLISTER, CA 95024-1269
Phone number: 831-636-2121
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