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Individual

BARBARA JEAN PORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CNP

Contact information

Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 520-2644
(419) 520-2619
Mailing address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 520-2644
(419) 520-2619

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
168124
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0137435
OH
Enumeration date
09/22/2006
Last updated
07/09/2007
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