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1881625705
ELLEN KATHLEEN PORTER
SHREVEPORT, LA
NPI
1881625705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: LA AP03268)
Enumeration Date
2006-07-06
Last Update Date
2007-12-18
Business Address
ELLEN KATHLEEN PORTER NP
8001 YOUREE DR SUITE 650
SHREVEPORT, LA 71115-2302
Phone number: 318-212-3787
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Mailing Address
ELLEN KATHLEEN PORTER NP
8001 YOUREE DR SUITE 650
SHREVEPORT, LA 71115-2302
Phone number: 318-212-3787
Copy
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