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Jonathon Deporter, TLLP
NPI 1992530349 · on the registry since 2024
Practice
- Address
- 2175 Rock Merrit Ave
Fort Liberty, NC 28310 - Phone
- (910) 907-7698
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-05
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 North Carolina