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1972026862
HALLINA NICOLE PORTNER
BRIDGEPORT, WV
NPI
1972026862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WV 2037-IOD)
Enumeration Date
2017-07-23
Last Update Date
2017-07-23
Business Address
HALLINA NICOLE PORTNER OD
107 DOCTORS DR
BRIDGEPORT, WV 26330-1720
Phone number: 304-842-6226
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Mailing Address
HALLINA NICOLE PORTNER OD
1307 DEER RUN
MORGANTOWN, WV 26508-9177
Phone number: 304-288-2325
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