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1992307995
ELIZABETH CORENE DAVENPORT
PAGOSA SPRINGS, CO
NPI
1992307995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CO DH.000906617)
Enumeration Date
2020-11-13
Last Update Date
2022-05-11
Business Address
ELIZABETH CORENE DAVENPORT RDH
190 TALISMAN DR UNIT D4
PAGOSA SPRINGS, CO 81147-9171
Phone number: 970-585-4424
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Mailing Address
ELIZABETH CORENE DAVENPORT RDH
190 TALISMAN DR UNIT D4
PAGOSA SPRINGS, CO 81147-9171
Phone number: 970-585-4424
Copy
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