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1477178507
CARLIE BROOKE PORTER
FORT WORTH, TX
NPI
1477178507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 983236)
Enumeration Date
2020-06-15
Last Update Date
2020-06-15
Business Address
CARLIE BROOKE PORTER RN
5833 GIDDYUP LN
FORT WORTH, TX 76179-7356
Phone number: 432-290-7960
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Mailing Address
CARLIE BROOKE PORTER RN
5833 GIDDYUP LN
FORT WORTH, TX 76179-7356
Phone number: 432-290-7960
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