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1154569010
PORTER MIKEL NILSSON
RICHMOND, VA
NPI
1154569010
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Former Name
NILS PORTER ERICKSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: VA 0121000440)
Enumeration Date
2009-01-30
Last Update Date
2020-08-04
Business Address
Mr. PORTER MIKEL NILSSON MSOM, L.Ac.
3122 W CARY ST STE 220
RICHMOND, VA 23221-3500
Phone number: 804-938-6457
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Mailing Address
Mr. PORTER MIKEL NILSSON MSOM, L.Ac.
610 N NANSEMOND ST APT 4
RICHMOND, VA 23221-1540
Phone number: 804-938-6457
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