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1386794485
MARY GRACE PORTER
TAMPA, FL
NPI
1386794485
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL 0000614)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
Mrs. MARY GRACE PORTER PT
6508 GUNN HIGHWAY INDEPENDENT LIVING INC
TAMPA, FL 33625-4022
Phone number: 813-963-6923
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Mailing Address
Mrs. MARY GRACE PORTER PT
6508 GUNN HIGHWAY INDEPENDENT LIVING INC
TAMPA, FL 33625-4022
Phone number: 813-963-6923
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