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Gavin Porter
NPI 1699269167 · on the registry since 2018 · sole proprietor
Practice
- Address
- 302 W Main St
Saint Clairsville, OH 43950 - Phone
- (740) 391-6305
- Clinicians at this address
- 29
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio