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1376828780
GLEN ALAN PORTER
GLENDALE, AZ
NPI
1376828780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ AP4205)
Enumeration Date
2011-10-17
Last Update Date
2014-09-26
Business Address
Mr. GLEN ALAN PORTER FNP-C
6611 W BELL RD (INSIDE FRYS)
GLENDALE, AZ 85308-3607
Phone number: 623-334-2953
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Mailing Address
Mr. GLEN ALAN PORTER FNP-C
3420 E CAROL ANN WAY
PHOENIX, AZ 85032-3820
Phone number: 602-769-2714
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