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1386618973
JERRY L PORTER
ROCHESTER, MN
NPI
1386618973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN R060820-8)
Enumeration Date
2006-02-13
Last Update Date
2007-07-08
Business Address
-- JERRY L PORTER CRNA
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511
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Mailing Address
-- JERRY L PORTER CRNA
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511
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