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1235615923
MELLISA GEORGETTE PORTER
BROOKLYN, NY
NPI
1235615923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: NY 341954)
Enumeration Date
2018-07-16
Last Update Date
2018-07-16
Business Address
MELLISA GEORGETTE PORTER
1180 E 55TH ST
BROOKLYN, NY 11234-2418
Phone number: 917-701-5277
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Mailing Address
MELLISA GEORGETTE PORTER
1180 E 55TH ST
BROOKLYN, NY 11234-2418
Phone number: 917-701-5277
Copy
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