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1497162507
SAMANTHA JO PORTER
FARGO, ND
NPI
1497162507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 12535589-4405)
Enumeration Date
2014-07-21
Last Update Date
2024-02-20
Business Address
SAMANTHA JO PORTER
820 4TH ST N
FARGO, ND 58102-4539
Phone number: 701-234-6161
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Mailing Address
SAMANTHA JO PORTER
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number:
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