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1093989246
TERESA A PORTER
WOODWARD, OK
NPI
1093989246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK 47613)
Enumeration Date
2008-04-18
Last Update Date
2008-04-18
Business Address
-- TERESA A PORTER LPN
1222 10TH STREET, SUITE 211 NORTHWEST CENTER FOR BEHAVIORAL HEALTH
WOODWARD, OK 73801-3156
Phone number: 580-256-8615
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Mailing Address
-- TERESA A PORTER LPN
1222 10TH STREET, SUITE 211 NORTHWEST CENTER FOR BEHAVIORAL HEALTH
WOODWARD, OK 73801-3156
Phone number: 580-256-8615
Copy
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