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Individual
SIMONE PATRICE PORTER
Active
Individual
SIMONE PATRICE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101247864
VA
208000000X
Pediatrics Physician
Primary
D0066349
MD
208000000X
Pediatrics Physician
MD037795
DC
Other
Enumeration date
02/20/2008
Last updated
12/02/2011
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