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1154755171
JENNIFER MOORE PORTER
BUFORD, GA
NPI
1154755171
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Former Name
JENNIFER ALISON MOORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP007334)
Enumeration Date
2013-08-27
Last Update Date
2013-08-27
Business Address
-- JENNIFER MOORE PORTER SLP
4992 BRISTOL INDUSTRIAL WAY
BUFORD, GA 30518-1742
Phone number: 770-904-6419
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Mailing Address
-- JENNIFER MOORE PORTER SLP
4992 BRISTOL INDUSTRIAL WAY
BUFORD, GA 30518-1742
Phone number: 770-904-6419
Copy
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