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1215056031
ELLEN PORTNOY
TROY, MI
NPI
1215056031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI 6801064524)
Enumeration Date
2007-03-29
Last Update Date
2021-04-08
Business Address
ELLEN PORTNOY CNP
2825 LIVERNOIS RD
TROY, MI 48083-1214
Phone number: 248-680-2060
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Mailing Address
ELLEN PORTNOY CNP
2825 W OUTER DR
TROY, MI 48083
Phone number: 248-680-2060
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