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1154647139
TINA MARIE PORTA
MACOMB, MI
NPI
1154647139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: MI L1568305)
Enumeration Date
2010-04-15
Last Update Date
2010-04-15
Business Address
MRS. TINA MARIE PORTA COTAL
15618 ETON CT.
MACOMB, MI 48044
Phone number: 586-791-9204
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Mailing Address
MRS. TINA MARIE PORTA COTAL
15618 ETON CT
MACOMB, MI 48044-1127
Phone number: 586-419-0636
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