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1114332160
JENNIFER PORCO
SOUTHFIELD, MI
NPI
1114332160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0106X Nurse Practitioner, Occupational Health
(Licence: MI 4704206847)
Enumeration Date
2014-06-29
Last Update Date
2014-06-29
Business Address
-- JENNIFER PORCO NP
22255 GREENFIELD RD
SOUTHFIELD, MI 48075-3710
Phone number: 248-849-3195
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Mailing Address
-- JENNIFER PORCO NP
45068 FOX POINTE DR
CANTON, MI 48187-2564
Phone number: 734-459-2883
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