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1003877630
CARLENE PORTER
WARRENVILLE, IL
NPI
1003877630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209-001548)
Enumeration Date
2006-03-31
Last Update Date
2012-11-29
Business Address
-- CARLENE PORTER APN.
4405 WEAVER PKWY
WARRENVILLE, IL 60555-3269
Phone number: 630-352-5300
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Mailing Address
-- CARLENE PORTER APN.
4405 WEAVER PKWY
WARRENVILLE, IL 60555-3269
Phone number: 630-352-5300
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