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1144782921
ALEXANDRIA PORTILLO
MONUMENT, CO
NPI
1144782921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CO 14229709)
Enumeration Date
2019-04-02
Last Update Date
2024-02-12
Business Address
ALEXANDRIA PORTILLO MA, SLP-CCC
17230 JACKSON CREEK PKWY STE 220
MONUMENT, CO 80132-7304
Phone number: 719-488-3348
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Mailing Address
ALEXANDRIA PORTILLO MA, SLP-CCC
1901 MANITOBA DR
COLORADO SPRINGS, CO 80910-3322
Phone number: 505-660-3457
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