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1679000137
TAYLOR PORTER STOVALL
ANNISTON, AL
NPI
1679000137
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Former Name
JORDAN TAYLOR PORTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL PTA7372)
Enumeration Date
2017-05-16
Last Update Date
2017-05-16
Business Address
Mrs. TAYLOR PORTER STOVALL PTA
2300 COLEMAN RD
ANNISTON, AL 36207-6824
Phone number: 256-831-5730
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Mailing Address
Mrs. TAYLOR PORTER STOVALL PTA
605 TREDEGAR RD
JACKSONVILLE, AL 36265-8428
Phone number: 256-343-3737
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