Individual
PORSCHA MILLENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 W GORE BLVD, SUITE 5A, LAWTON, OK 73501-3727
(580) 647-9701
(580) 351-6570
Mailing address
2565 SE TRAIL RD, LAWTON, OK 73501-5260
(580) 647-9701
(580) 351-6570
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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