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MRS. SUSAN L PORTER RN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1295044915

Individual Registrant:
MRS. SUSAN L PORTER RN
Gender: F
Sole Proprietor

Location and contact information for practice:
289 MILLER RD  PRESTON, CT 06365-8533 US
Tel: 860-887-9195  Fax: --

Contact information for business:
289 MILLER RD  PRESTON, CT 06365-8533 US
Tel: 860-887-9195  Fax: --

Registration Information:
NPI: 1295044915
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
CT072997

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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