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1588406078
BRENT STUART PORTER
TYLER, TX
NPI
1588406078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-06-07
Last Update Date
2024-06-07
Business Address
BRENT STUART PORTER DO
11937 US HIGHWAY 271
TYLER, TX 75708-3154
Phone number: 903-877-7200
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Mailing Address
BRENT STUART PORTER DO
11937 US HIGHWAY 271
TYLER, TX 75708-3154
Phone number:
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