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Individual
DR. PAUL WALLACE PORTER
Active
Individual
DR. PAUL WALLACE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
33060
CA
111NR0400X
Rehabilitation Chiropractor
33060
CA
111NX0100X
Occupational Health Chiropractor
33060
CA
Other
Enumeration date
09/10/2015
Last updated
08/14/2023
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