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1548220999
STACI LYNN PORTER
DES MOINES, IA
NPI
1548220999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 03279)
Enumeration Date
2006-03-27
Last Update Date
2008-11-26
Business Address
Mrs. STACI LYNN PORTER MSPT, DPT
2918 E UNIVERSITY AVE
DES MOINES, IA 50317-8236
Phone number: 515-265-8272
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Mailing Address
Mrs. STACI LYNN PORTER MSPT, DPT
205 W WACKER DR SUITE 1020
CHICAGO, IL 60606-1216
Phone number: 312-640-0329
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