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1124199815
GWINNE WYATT PORTER
CARMEL, NY
NPI
1124199815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: NY 016716)
Enumeration Date
2006-11-13
Last Update Date
2014-12-19
Business Address
Dr. GWINNE WYATT PORTER Ph.D.
667 STONELEIGH AVE SUITE 202
CARMEL, NY 10512-2454
Phone number: 917-747-4218
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Mailing Address
Dr. GWINNE WYATT PORTER Ph.D.
667 STONELEIGH AVE SUITE 202
CARMEL, NY 10512-2454
Phone number: 917-747-4218
Copy
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