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1437197647
JOHN C PORTER
POCATELLO, ID
NPI
1437197647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner Primary Care
(Licence: ID NP376A)
Enumeration Date
2006-06-02
Last Update Date
2016-05-11
Business Address
JOHN C PORTER NP-C
444 HOSPITAL WAY SUITE 801
POCATELLO, ID 83201-2745
Phone number: 800-613-4012
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Mailing Address
JOHN C PORTER NP-C
3544 E 17TH ST STE 104
AMMON, ID 83406-6910
Phone number: 208-522-2922
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