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1174545362
RUSSELL TREXLER PORTER
MODESTO, CA
NPI
1174545362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A75424)
Enumeration Date
2006-07-24
Last Update Date
2012-03-20
Business Address
Dr. RUSSELL TREXLER PORTER MD
1448 FLORIDA AVE
MODESTO, CA 95350-4424
Phone number: 209-523-1884
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Mailing Address
Dr. RUSSELL TREXLER PORTER MD
1448 FLORIDA AVE
MODESTO, CA 95350-4424
Phone number: 209-523-1884
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