JACK PORTER

MANSFIELD, OH
NPI1356129563
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy347C00000X Private Vehicle
(Licence: OH  UT015692)
Additional Taxonomies376J00000X Homemaker
Enumeration Date2023-09-19
Last Update Date2023-09-19
Business Address
JACK PORTER
1634 HELENA DR
MANSFIELD, OH 44904-1817
Phone number: 419-543-6853
Mailing Address
JACK PORTER
1634 HELENA DR
MANSFIELD, OH 44904-1817
Phone number: 419-543-6853
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