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1083475073
LISA LYNN PORTER
SPRINGFIELD, MO
NPI
1083475073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-01-17
Last Update Date
2024-01-17
Business Address
LISA LYNN PORTER
1901 E BENNETT ST STE B
SPRINGFIELD, MO 65804-1427
Phone number: 417-409-3008
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Mailing Address
LISA LYNN PORTER
2305 W VILLAGE LN
SPRINGFIELD, MO 65807-4042
Phone number: 712-541-3327
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