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1497201511
PORTIA O DAVIS
LATHAM, NY
NPI
1497201511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F340367)
Enumeration Date
2016-08-29
Last Update Date
2019-10-23
Business Address
PORTIA O DAVIS FNP
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110-1074
Phone number: 518-348-3176
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Mailing Address
PORTIA O DAVIS FNP
1044 STATE ST
SCHENECTADY, NY 12307-1508
Phone number: 518-370-1441
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