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1972511905
LAURA DAVENPORT
ATLANTA, GA
NPI
1972511905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN075009)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
-- LAURA DAVENPORT CPNP
1001 JOHNSON FERRY RD
ATLANTA, GA 30342
Phone number: 404-785-3826
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Mailing Address
-- LAURA DAVENPORT CPNP
4635 MOUNTAIN CREEK DR
ROSWELL, GA 30075
Phone number:
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