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1922331354
AMANDA C DAVENPORT
ORLAND PARK, IL
NPI
1922331354
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Former Name
AMANDA C STRECKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085003583)
Enumeration Date
2009-09-17
Last Update Date
2021-03-03
Business Address
Mrs. AMANDA C DAVENPORT PA-C
9570 W 159TH ST
ORLAND PARK, IL 60467-5504
Phone number: 708-675-7070
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Mailing Address
Mrs. AMANDA C DAVENPORT PA-C
PO BOX 544 DEPT 5390
MILWAUKEE, WI 53201-0544
Phone number: 815-713-2600
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