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Individual
ERIC PORT
Active
Individual
ERIC PORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
—
NULL
376G00000X
Nursing Home Administrator
—
NULL
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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