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1659170728
JERRY PORTER
NORFOLK, NE
NPI
1659170728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Additional Taxonomies
372600000X Adult Companion
Enumeration Date
2025-03-11
Last Update Date
2025-03-11
Business Address
JERRY PORTER
3104 RAASCH DR
NORFOLK, NE 68701-3407
Phone number: 308-371-4689
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Mailing Address
JERRY PORTER
3104 RAASCH DR
NORFOLK, NE 68701-3407
Phone number: 308-371-4689
Copy
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