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1437374709
JEFFREY SPORER
FORT POLK, LA
NPI
1437374709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP130650)
Enumeration Date
2007-04-13
Last Update Date
2022-07-18
Business Address
Mr. JEFFREY SPORER FNP-C
1585 3RD ST BLDG 285
FORT POLK, LA 71459
Phone number: 337-531-3660
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Mailing Address
Mr. JEFFREY SPORER FNP-C
1585 3RD ST BLDG 285
FORT POLK, LA 71459-5102
Phone number: 337-531-3660
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