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1811991631
CYNTHIA L POORTENGA
KINGSPORT, TN
NPI
1811991631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN md0000017131)
Enumeration Date
2005-06-09
Last Update Date
2008-02-27
Business Address
Dr. CYNTHIA L POORTENGA M.D.
121 E RAVINE RD STE 900
KINGSPORT, TN 37660-3800
Phone number: 423-230-4800
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Mailing Address
Dr. CYNTHIA L POORTENGA M.D.
121 E RAVINE RD STE 900
KINGSPORT, TN 37660-3800
Phone number: 423-230-4800
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