MARC PORTER

URBANA, IL
NPI1083296131
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209022927)
Enumeration Date2021-04-27
Last Update Date2021-04-27
Business Address
MARC PORTER
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-3303
Mailing Address
MARC PORTER
611 W PARK ST FAPC
URBANA, IL 61801
Phone number:
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