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1932516515
BARBARA DAVENPORT FREDERICK
GRAND RAPIDS, MI
NPI
1932516515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704233662)
Enumeration Date
2014-07-16
Last Update Date
2023-09-08
Business Address
BARBARA DAVENPORT FREDERICK NP-C
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544-1955
Phone number: 616-391-6220
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Mailing Address
BARBARA DAVENPORT FREDERICK NP-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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