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1346395522
MARK ROBERT PORTER
FREMONT, NE
NPI
1346395522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE p536)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
Mr. MARK ROBERT PORTER PLADC
212 E. 8TH ST.
FREMONT, NE 68025
Phone number: 402-721-1414
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Mailing Address
Mr. MARK ROBERT PORTER PLADC
212 E. 8TH ST.
FREMONT, NE 68025
Phone number: 402-721-1414
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