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1174951560
AUDREY PORTER
URBANDALE, IA
NPI
1174951560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 28835)
Enumeration Date
2013-10-22
Last Update Date
2013-10-22
Business Address
-- AUDREY PORTER M.D.
2413 71ST ST
URBANDALE, IA 50322-4862
Phone number: 515-278-9595
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Mailing Address
-- AUDREY PORTER M.D.
2413 71ST ST
URBANDALE, IA 50322-4862
Phone number: 515-278-9595
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