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1427267475
SUSAN CAROL PORTER
GRAND RAPIDS, MI
NPI
1427267475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MI 13802)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
-- SUSAN CAROL PORTER DDS
2000 43RD ST SE SUITE C
GRAND RAPIDS, MI 49508-8700
Phone number: 616-455-4108
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Mailing Address
-- SUSAN CAROL PORTER DDS
2000 43RD ST SE SUITE C
GRAND RAPIDS, MI 49508-8700
Phone number: 616-455-4108
Copy
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