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1063492163
STEPHANIE A PORTER
SHEPPARD AFB, TX
NPI
1063492163
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Entity Type
Organization
Authorized Contact
STEPHANIE ANN PORTER
Pediatrician
940-676-6777
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: TX L3841)
Enumeration Date
2006-01-17
Last Update Date
2023-03-07
Business Address
STEPHANIE A PORTER
149 HART ST
SHEPPARD AFB, TX 76311-3477
Phone number: 940-676-6777
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Mailing Address
STEPHANIE A PORTER
149 HART ST
SHEPPARD AFB, TX 76311-3477
Phone number: 940-642-6231
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