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1689612996
STUART B PORTER
PROVO, UT
NPI
1689612996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 288579-1204)
Enumeration Date
2006-06-02
Last Update Date
2009-09-01
Business Address
-- STUART B PORTER D.O.
3650 N UNIVERSITY AVE SUITE 200
PROVO, UT 84604-6656
Phone number: 801-375-7100
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Mailing Address
-- STUART B PORTER D.O.
3650 N UNIVERSITY AVE SUITE 200
PROVO, UT 84604-6656
Phone number: 801-375-7100
Copy
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