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1639749138
KATHARINE GRACE PORTER GAVIN
SANTA ROSA, CA
NPI
1639749138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX BP1007051)
Enumeration Date
2021-06-28
Last Update Date
2024-06-09
Business Address
KATHARINE GRACE PORTER GAVIN DO
131 STONY CIR STE 1600
SANTA ROSA, CA 95401-9520
Phone number: 707-541-7700
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Mailing Address
KATHARINE GRACE PORTER GAVIN DO
131 STONY CIR STE 1600
SANTA ROSA, CA 95401-9520
Phone number:
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