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1780690651
BRENDA L PORTER
WICHITA FALLS, TX
NPI
1780690651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 041104)
Enumeration Date
2006-07-31
Last Update Date
2007-11-29
Business Address
-- BRENDA L PORTER
1105 BROOK AVE
WICHITA FALLS, TX 76301-5008
Phone number: 940-723-1441
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Mailing Address
-- BRENDA L PORTER
PO BOX 5166
WICHITA FALLS, TX 76307-5166
Phone number: 940-723-1441
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