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1083040463
BRENT LELAND PORTEOUS
MARTINEZ, CA
NPI
1083040463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 12969)
Enumeration Date
2013-09-17
Last Update Date
2013-09-17
Business Address
-- BRENT LELAND PORTEOUS D.O.
2500 ALHAMBRA AVE
MARTINEZ, CA 94553-3156
Phone number: 925-370-5200
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Mailing Address
-- BRENT LELAND PORTEOUS D.O.
2500 ALHAMBRA AVE
MARTINEZ, CA 94553-3156
Phone number:
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