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1053508358
JENNIFER PORTER
CAMDEN, AR
NPI
1053508358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 2107)
Enumeration Date
2007-10-01
Last Update Date
2024-11-19
Business Address
Miss JENNIFER PORTER PTA
155 S ADAMS AVE
CAMDEN, AR 71701-4031
Phone number: 870-498-4357
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Mailing Address
Miss JENNIFER PORTER PTA
1815 WOODWARD
MAGNOLIA, AR 71753-2132
Phone number: 870-904-6581
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