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1770742066
KEEVIA Y PORTER
MEMPHIS, TN
NPI
1770742066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 0000013460)
Enumeration Date
2008-06-03
Last Update Date
2013-12-03
Business Address
Mrs. KEEVIA Y PORTER NP-C
920 MADISON AVE
MEMPHIS, TN 38163-8240
Phone number: 901-448-6134
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Mailing Address
Mrs. KEEVIA Y PORTER NP-C
5517 HERITAGE LAKE CV
MEMPHIS, TN 38109-7473
Phone number: 901-643-1540
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