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1740646686
JENNIFER LYNN PORTER
CARBONDALE, IL
NPI
1740646686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2016-01-07
Last Update Date
2016-01-07
Business Address
-- JENNIFER LYNN PORTER
1108 W WILLOW ST
CARBONDALE, IL 62901-1138
Phone number: 618-549-4442
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Mailing Address
-- JENNIFER LYNN PORTER
1108 W WILLOW ST
CARBONDALE, IL 62901-1138
Phone number: 618-549-4442
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