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1427731983
IAN DAVID PORTER
OKLAHOMA CITY, OK
NPI
1427731983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-08-10
Last Update Date
2023-08-10
Business Address
IAN DAVID PORTER
1200 NE 13TH ST
OKLAHOMA CITY, OK 73117-1022
Phone number: 405-248-9368
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Mailing Address
IAN DAVID PORTER
3425 ROYALWOOD CIR
DEL CITY, OK 73115-1745
Phone number: 253-341-3059
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