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1093396442
MICHELLE PORTILLO
LOS ANGELES, CA
NPI
1093396442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-04-17
Last Update Date
2021-04-17
Business Address
MICHELLE PORTILLO
4401 CRENSHAW BLVD STE 215
LOS ANGELES, CA 90043-1200
Phone number: 323-291-7100
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Mailing Address
MICHELLE PORTILLO
4401 CRENSHAW BLVD STE 215
LOS ANGELES, CA 90043-1200
Phone number: 323-291-7100
Copy
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