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1124243167
YADIRA PORTILLO
VISALIA, CA
NPI
1124243167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
-- YADIRA PORTILLO
220 N LOCUST ST
VISALIA, CA 93291-4946
Phone number: 559-627-1385
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Mailing Address
-- YADIRA PORTILLO
220 N LOCUST ST
VISALIA, CA 93291-4946
Phone number: 559-627-1385
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