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1518900802
RONALD D PORTER
BRIDGEPORT, WV
NPI
1518900802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WV 21431)
Enumeration Date
2006-06-14
Last Update Date
2017-01-20
Business Address
-- RONALD D PORTER CRNA
327 MEDICAL PARK DR
BRIDGEPORT, WV 26330-9006
Phone number: 681-342-1610
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Mailing Address
-- RONALD D PORTER CRNA
306 STANAFORD RD
BECKLEY, WV 25801-3142
Phone number: 304-255-3436
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