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Individual
CAROLYN J. PORTER
Active
Individual
CAROLYN J. PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
R128490
MD
Other
Enumeration date
11/13/2006
Last updated
02/10/2012
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