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1992144943
DEVIN LANE PORTER
SHOW LOW, AZ
NPI
1992144943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 5410)
Enumeration Date
2013-06-21
Last Update Date
2013-06-21
Business Address
-- DEVIN LANE PORTER P.A.-C
2200 E SHOW LOW LAKE RD
SHOW LOW, AZ 85901-7831
Phone number: 928-537-4375
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Mailing Address
-- DEVIN LANE PORTER P.A.-C
PO BOX 159
OVERGAARD, AZ 85933-0159
Phone number: 480-433-0371
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