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1487718516
ELAINE PORTS
BALTIMORE, MD
NPI
1487718516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C03427)
Enumeration Date
2006-12-21
Last Update Date
2007-07-08
Business Address
-- ELAINE PORTS p.a.
5601 LOCH RAVEN BLVD POB SUITE G1
BALTIMORE, MD 21239-2905
Phone number: 410-532-4735
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Mailing Address
-- ELAINE PORTS p.a.
5601 LOCH RAVEN BLVD POB SUITE G1
BALTIMORE, MD 21239-2905
Phone number: 410-532-4735
Copy
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