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1992972194
JENNIFER NICOLE GURAM PORTER
JACKSONVILLE, FL
NPI
1992972194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: FL ME113333)
Enumeration Date
2008-05-15
Last Update Date
2012-06-19
Business Address
-- JENNIFER NICOLE GURAM PORTER M.D.
836 PRUDENTIAL DR 1506
JACKSONVILLE, FL 32207-8334
Phone number: 904-346-0050
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Mailing Address
-- JENNIFER NICOLE GURAM PORTER M.D.
836 PRUDENTIAL DR 1506
JACKSONVILLE, FL 32207-8334
Phone number: 904-346-0050
Copy
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