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1306467840
PORTIE NP SERVICES, LLC
IOWA, LA
NPI
1306467840
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Entity Type
Organization
Authorized Contact
DARCI LEAH PORTIE
Owner
337-905-9034
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2020-05-06
Last Update Date
2020-05-06
Business Address
PORTIE NP SERVICES, LLC
IMPERIAL HEALTH, LLP 607 NORTH THOMSON AVE
IOWA, LA 70647
Phone number: 337-582-5555
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Mailing Address
PORTIE NP SERVICES, LLC
1780 JESSICA LN
LAKE CHARLES, LA 70611-3750
Phone number: 337-905-9034
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