MARK L. PORTER

TUPELO, MS
NPI1457478828
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS  AT0337)
Enumeration Date2007-03-23
Last Update Date2007-07-08
Business Address
Mr. MARK L. PORTER ATC
4381 S EASON BLVD
TUPELO, MS 38801-6583
Phone number: 662-377-5469
Mailing Address
Mr. MARK L. PORTER ATC
PO BOX 2252
TUPELO, MS 38803-2252
Phone number: 662-231-5615
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