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1063510238
DAVID MICHAEL PORTNER
VIRGINIA BEACH, VA
NPI
1063510238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810001188)
Enumeration Date
2006-09-20
Last Update Date
2010-07-11
Business Address
Dr. DAVID MICHAEL PORTNER Ph.D
1428 WATER MILL CIR
VIRGINIA BEACH, VA 23454-1359
Phone number: 757-642-2567
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Mailing Address
Dr. DAVID MICHAEL PORTNER Ph.D
1428 WATER MILL CIR
VIRGINIA BEACH, VA 23454-1359
Phone number: 757-642-2567
Copy
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