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Individual

CHARLENE K PORTER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
AA-C

Contact information

Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-4633
Mailing address
19418 SARATOGA TRL, STRONGSVILLE, OH 44136-7273
(440) 238-0593

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000039
OH

Other

Enumeration date
04/18/2006
Last updated
07/08/2007
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