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1861850448
PHYLLIS DAVENPORT
OKLAHOMA CITY, OK
NPI
1861850448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-02-10
Last Update Date
2016-02-10
Business Address
-- PHYLLIS DAVENPORT
9236 SNOWBERRY DR
OKLAHOMA CITY, OK 73165-9730
Phone number: 405-601-5011
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Mailing Address
-- PHYLLIS DAVENPORT
9236 SNOWBERRY DR
OKLAHOMA CITY, OK 73165-9730
Phone number: 405-601-5011
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