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1861072514
MARY PORTERA
NEW YORK, NY
NPI
1861072514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CO DR0072962)
Enumeration Date
2021-04-08
Last Update Date
2024-06-29
Business Address
MARY PORTERA
630 W 168TH ST PH 8
NEW YORK, NY 10032-3725
Phone number: 212-305-5960
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Mailing Address
MARY PORTERA
8697 CLASSIC CIR
MEMPHIS, TN 38125-8829
Phone number: 901-305-4022
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