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1659647386
STACY PORTER
MENLO PARK, CA
NPI
1659647386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A126790)
Enumeration Date
2012-03-27
Last Update Date
2016-04-08
Business Address
-- STACY PORTER M.D.
1300 CRANE ST
MENLO PARK, CA 94025-4260
Phone number: 650-498-7080
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Mailing Address
-- STACY PORTER M.D.
1300 CRANE ST
MENLO PARK, CA 94025-4260
Phone number: 650-498-7080
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