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1134459209
MARVAN HOWARD PORTER
DECATUR, GA
NPI
1134459209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT009830)
Enumeration Date
2010-01-12
Last Update Date
2010-01-12
Business Address
-- MARVAN HOWARD PORTER PT
495 WINN WAY
DECATUR, GA 30030-1736
Phone number: 404-389-0077
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Mailing Address
-- MARVAN HOWARD PORTER PT
6578 CHESTNUT OAKS RDG
LITHONIA, GA 30038-4571
Phone number: 770-323-1567
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