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1306996731
ROBERT A. PORTILLO
CANTON, GA
NPI
1306996731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111NS0005X Chiropractor, Sports Physician
(Licence: GA CHIR007986)
Enumeration Date
2007-01-10
Last Update Date
2019-11-20
Business Address
Dr. ROBERT A. PORTILLO D.C.
3755 SIXES RD STE 100
CANTON, GA 30114-7856
Phone number: 770-704-4580
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Mailing Address
Dr. ROBERT A. PORTILLO D.C.
3755 SIXES RD STE 100
CANTON, GA 30114-7856
Phone number: 770-704-4580
Copy
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