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1447255104
MARILYN A PORTER
TAMPA, FL
NPI
1447255104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP9166542)
Enumeration Date
2005-06-17
Last Update Date
2007-07-08
Business Address
-- MARILYN A PORTER ARNP
12502 PINE DR
TAMPA, FL 33612-9411
Phone number: 813-975-7130
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Mailing Address
-- MARILYN A PORTER ARNP
12502 PINE DR SHRINERS HOSPITAL FOR CHILDREN
TAMPA, FL 33612-9411
Phone number: 813-975-7130
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