Individual
COIRE ELAINE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1313 N FORREST ST, ALTUS, OK 73521-2734
(580) 482-6229
Mailing address
1313 N FORREST ST, ALTUS, OK 73521-2734
(580) 482-6229
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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