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1700618899
MERCEDES S PORTER
CHICAGO, IL
NPI
1700618899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MO 86391206)
Enumeration Date
2024-08-16
Last Update Date
2024-08-16
Business Address
MERCEDES S PORTER RDN
2649 N WAYNE AVE # 2FF
CHICAGO, IL 60614-8289
Phone number: 913-713-2889
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Mailing Address
MERCEDES S PORTER RDN
2649 N WAYNE AVE # 2FF
CHICAGO, IL 60614-8289
Phone number: 913-713-2889
Copy
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