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Individual

MRS. OPAL K PORRAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CWON-AP, CCCN

Contact information

Practice address
901 MACARTHUR BLVD, WOULD OSTOMY CLINIC, MUNSTER, IN 46321-2901
(219) 836-7713
(219) 836-7058
Mailing address
901 MACARTHUR BLVD, WOUND OSTOMY CLINIC, MUNSTER, IN 46321-2901
(219) 838-1757
(219) 836-7058

Taxonomy

Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
70000151A
IN

Other

Enumeration date
12/05/2006
Last updated
12/24/2014
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