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1104497312
PORTIA VINCENT
WILMINGTON, OH
NPI
1104497312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: OH 0029202)
Enumeration Date
2021-07-08
Last Update Date
2021-07-08
Business Address
PORTIA VINCENT C-FNP
2845 PROGRESS WAY
WILMINGTON, OH 45177-7704
Phone number: 937-944-3385
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Mailing Address
PORTIA VINCENT C-FNP
113 WALNUT GLEN DR
WILMINGTON, OH 45177-7580
Phone number: 397-944-3385
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