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1700989266
MICHELLE M PORTER
MOUNDRIDGE, KS
NPI
1700989266
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: KS 17-01284)
Enumeration Date
2006-09-07
Last Update Date
2007-07-08
Business Address
Mrs. MICHELLE M PORTER OTR
121 S. CHRISTIAN AVE.
MOUNDRIDGE, KS 67107-0743
Phone number: 620-345-3000
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Mailing Address
Mrs. MICHELLE M PORTER OTR
121 S. CHRISTIAN PO BOX 743
MOUNDRIDGE, KS 67107-0743
Phone number: 620-345-3000
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