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1265016794
FRANK LEON PORTER
ROSEVILLE, CA
NPI
1265016794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1426000421)
Enumeration Date
2021-05-11
Last Update Date
2024-03-06
Business Address
FRANK LEON PORTER RADT
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
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Mailing Address
FRANK LEON PORTER RADT
1133 COLOMA WAY
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
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