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1003393075
AMBER LAQUITA PORTIS
ONTARIO, CA
NPI
1003393075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
106H00000X Marriage & Family Therapist
Enumeration Date
2018-07-23
Last Update Date
2021-09-29
Business Address
AMBER LAQUITA PORTIS
1500 S HAVEN AVE STE 250
ONTARIO, CA 91761-2973
Phone number: 909-749-5204
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Mailing Address
AMBER LAQUITA PORTIS
1500 S HAVEN AVE STE 250
ONTARIO, CA 91761-2973
Phone number: 909-749-5204
Copy
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