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1780696658
JEFFREY D PORTER
AVONDALE, AZ
NPI
1780696658
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Former Name
JEFFREY D PORTER
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: AZ 7252)
Enumeration Date
2006-08-12
Last Update Date
2013-08-13
Business Address
Mr. JEFFREY D PORTER D.O
919 N DYSART RD
AVONDALE, AZ 85323-1711
Phone number: 623-882-2121
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Mailing Address
Mr. JEFFREY D PORTER D.O
919 N DYSART RD
AVONDALE, AZ 85323-1711
Phone number: 623-882-2121
Copy
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