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1043852239
GLENN ANDREW PORTER
SAN DIEGO, CA
NPI
1043852239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-10-09
Last Update Date
2022-01-10
Business Address
GLENN ANDREW PORTER
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-683-3100
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Mailing Address
GLENN ANDREW PORTER
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-683-3100
Copy
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