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1407090699
ROSE MARY PORTER
HAMPTON, VA
NPI
1407090699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
(Licence: VA CE# 132766)
Enumeration Date
2009-05-01
Last Update Date
2009-05-01
Business Address
Ms. ROSE MARY PORTER CDA
100 EMANCIPATION DR
HAMPTON, VA 23667-0001
Phone number: 757-722-9961
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Mailing Address
Ms. ROSE MARY PORTER CDA
PO BOX 1101
FRANKLIN, VA 23851-1101
Phone number: 757-653-4213
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