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1962500652
CHARISSE CHANTEL DAVENPORT
BALTIMORE, MD
NPI
1962500652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MD H0064558)
Enumeration Date
2006-09-20
Last Update Date
2021-03-24
Business Address
CHARISSE CHANTEL DAVENPORT D.O.
8830 BELAIR RD
BALTIMORE, MD 21236-2401
Phone number: 410-529-9200
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Mailing Address
CHARISSE CHANTEL DAVENPORT D.O.
5000 COX RD
GLEN ALLEN, VA 23060-9263
Phone number: 804-968-5700
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