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1184354110
PAUL ANTHONY PORTER
BIRMINGHAM, AL
NPI
1184354110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-132215)
Enumeration Date
2022-06-13
Last Update Date
2022-06-15
Business Address
PAUL ANTHONY PORTER CRNP
1201 22ND ST N
BIRMINGHAM, AL 35234-2726
Phone number: 205-251-5271
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Mailing Address
PAUL ANTHONY PORTER CRNP
284 OUTBACK DR
WEDOWEE, AL 36278-4075
Phone number: 256-557-8397
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