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1871849133
DOROTHY WHATLEY PORTER
PORT ORANGE, FL
NPI
1871849133
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Former Name
DOROTHY JEAN WHATLEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: FL PA9106692)
Enumeration Date
2012-07-24
Last Update Date
2013-05-23
Business Address
DOROTHY WHATLEY PORTER PA
3635 S CLYDE MORRIS BLVD SUITE 100
PORT ORANGE, FL 32129-2300
Phone number: 386-788-1242
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Mailing Address
DOROTHY WHATLEY PORTER PA
4800 BELFORT RD
JACKSONVILLE, FL 32256-6004
Phone number: 904-483-5826
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