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1396052783
JESSICA PORTER
BURLINGTON, VT
NPI
1396052783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VT 101.0070812)
Enumeration Date
2010-09-07
Last Update Date
2015-12-04
Business Address
-- JESSICA PORTER APRN
168 BATTERY ST
BURLINGTON, VT 05401-5285
Phone number: 802-881-3891
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Mailing Address
-- JESSICA PORTER APRN
92 ADAMS ST
BURLINGTON, VT 05401-4525
Phone number: 802-881-3891
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