DAVID PORTER

GROVE, OK
NPI1376096990
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-08-01
Last Update Date2017-02-06
Business Address
-- DAVID PORTER
1115 HARBER ROAD
GROVE, OK 74344-7918
Phone number: 918-786-4434
Mailing Address
-- DAVID PORTER
1115 HARBER ROAD
GROVE, OK 74344-7918
Phone number: 918-786-4434
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