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1417008152
VICTORIA A PORTMAN
YPSILANTI, MI
NPI
1417008152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704235858)
Enumeration Date
2007-01-16
Last Update Date
2014-04-24
Business Address
-- VICTORIA A PORTMAN CRNA
5301 E HURON RIVER DR MC 69504
YPSILANTI, MI 48197-1051
Phone number: 734-712-2419
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Mailing Address
-- VICTORIA A PORTMAN CRNA
5301 E HURON RIVER DR MC 69504
YPSILANTI, MI 48197-1051
Phone number: 734-712-2419
Copy
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