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1295320497
ALISSA PORTENIER
DURHAM, NC
NPI
1295320497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 5013555)
Enumeration Date
2021-03-09
Last Update Date
2021-03-09
Business Address
ALISSA PORTENIER NP
508 FULTON ST
DURHAM, NC 27705-3875
Phone number: 919-286-0411
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Mailing Address
ALISSA PORTENIER NP
5735 MAGELLAN WAY APT 201
RALEIGH, NC 27612-2274
Phone number: 919-225-9339
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