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1912146648
CANDICE L DAVENPORT
YUMA, AZ
NPI
1912146648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
(Licence: AZ 1055670)
Enumeration Date
2009-02-19
Last Update Date
2009-02-19
Business Address
-- CANDICE L DAVENPORT
1850 S AVENUE B APT 7C
YUMA, AZ 85364-5166
Phone number: 928-580-6396
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Mailing Address
-- CANDICE L DAVENPORT
1850 S AVENUE B APT 7C
YUMA, AZ 85364-5166
Phone number: 928-580-6396
Copy
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