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1184930976
DARREL ROBERT PORR
KUNA, ID
NPI
1184930976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M11133)
Enumeration Date
2010-08-31
Last Update Date
2014-08-10
Business Address
-- DARREL ROBERT PORR MD
708 E WYTHE CREEK CT STE 103
KUNA, ID 83634-5005
Phone number: 208-922-5130
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Mailing Address
-- DARREL ROBERT PORR MD
708 E WYTHE CREEK CT STE 103
KUNA, ID 83634-5005
Phone number: 208-922-5130
Copy
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