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1922045210
RENEE PORTER
BUFFALO, NY
NPI
1922045210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 010940-1)
Enumeration Date
2006-06-02
Last Update Date
2019-02-21
Business Address
RENEE PORTER P.A.
565 ABBOTT RD
BUFFALO, NY 14220
Phone number: 716-826-7000
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Mailing Address
RENEE PORTER P.A.
440 BEEBE RD
ILION, NY 13357-3741
Phone number: 315-897-6694
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