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1215507009
KATHERINE GAYLE PORTEOUS
ONTARIO, CA
NPI
1215507009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-06-25
Last Update Date
2021-06-25
Business Address
KATHERINE GAYLE PORTEOUS AAS Substance use
1033 S CAMPUS AVE
ONTARIO, CA 91761-3444
Phone number: 626-241-8451
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Mailing Address
KATHERINE GAYLE PORTEOUS AAS Substance use
1033 S CAMPUS AVE
ONTARIO, CA 91761-3444
Phone number: 626-241-8451
Copy
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