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Individual

MRS. CAROL ELAINE PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2900 FIRST AVE, SUITE 6019, HUNTINGTON, WV 25702-1241
(304) 399-0137
(304) 399-0138
Mailing address
P.O. BOX 8225, HUNTINGTON, WV 25705-0225
(304) 399-0137
(304) 399-0138

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
31632
WV

Other

Enumeration date
05/30/2012
Last updated
06/26/2013
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