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1144667452
NATHANIEL JOEL PORTER
ST PETERSBURG, FL
NPI
1144667452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-05-28
Last Update Date
2013-05-28
Business Address
Mr. NATHANIEL JOEL PORTER
2510 1ST AVE S
ST PETERSBURG, FL 33712-1106
Phone number: 727-289-1164
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Mailing Address
Mr. NATHANIEL JOEL PORTER
2510 1ST AVE S
ST PETERSBURG, FL 33712-1106
Phone number: 727-289-1164
Copy
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