KIMBERLY ANN PAULINE PORTER

WEST LAFAYETTE, IN
NPI1376060962
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  28224750A)
Enumeration Date2017-08-24
Last Update Date2017-08-24
Business Address
KIMBERLY ANN PAULINE PORTER
1400 W STATE ST STE C
WEST LAFAYETTE, IN 47906-3438
Phone number: 765-494-0111
Mailing Address
KIMBERLY ANN PAULINE PORTER
2007 SAW MILL RD
LAFAYETTE, IN 47905-5559
Phone number: 904-652-4725
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