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Individual

JENNIE LYNNE PORTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.D.

Contact information

Practice address
560 S MAIN ST, CLEARFIELD, UT 84015-1723
(801) 784-4190
(801) 825-2134
Mailing address
560 S MAIN ST, CLEARFIELD, UT 84015-1723
(801) 784-4190
(801) 825-2134

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary

Other

Enumeration date
02/25/2016
Last updated
02/25/2016
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