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Individual
TIMOTHY AUSTIN PORTER
Active
Individual
TIMOTHY AUSTIN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
09/07/2023
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