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1558427773
JOHNNY WAYNE PORTER
DALLAS, TX
NPI
1558427773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 20808)
Enumeration Date
2006-12-29
Last Update Date
2007-07-08
Business Address
MR. JOHNNY WAYNE PORTER R.PH.
16305 DALMALLEY LN
DALLAS, TX 75248-2325
Phone number: 972-490-5091
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Mailing Address
MR. JOHNNY WAYNE PORTER R.PH.
16305 DALMALLEY LN
DALLAS, TX 75248-2325
Phone number: 972-490-5091
Copy
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