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1902313489
MARK EDWARD PORTER
FRESNO, CA
NPI
1902313489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-01-05
Last Update Date
2018-06-16
Business Address
Mr. MARK EDWARD PORTER
2140 MERCED ST
FRESNO, CA 93721-1721
Phone number: 559-892-1125
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Mailing Address
Mr. MARK EDWARD PORTER
2140 MERCED ST
FRESNO, CA 93721-1721
Phone number:
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