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1700030004
FREDERICK PORTER
LITTLE ROCK, AR
NPI
1700030004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AR 1529)
Enumeration Date
2008-11-13
Last Update Date
2008-11-13
Business Address
Mr. FREDERICK PORTER M.S. CCC-SLP
2400 W MARKHAM ST
LITTLE ROCK, AR 72205-6129
Phone number: 501-324-9543
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Mailing Address
Mr. FREDERICK PORTER M.S. CCC-SLP
2400 W MARKHAM ST
LITTLE ROCK, AR 72205-6129
Phone number: 501-324-9543
Copy
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