HOLY E DAVENPORT
Nursing at Valleyside Dr, Dallas, GA

License number
Florida 9263497
Issued Date
Aug 3, 2007
Effective Date
May 6, 2015
Expiration Date
Apr 30, 2013
Category
Health Care
Type
Registered Nurse
Address
Address
510 Valleyside Dr, Dallas, GA 30157
Phone
(770) 505-0984
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Holy E Davenport, age 45
510 Valleyside Dr, Dallas, GA 30157
(770) 505-0984

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