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1326359670
TINA M. PORTILLO
BURNSVILLE, MN
NPI
1326359670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MN 54226)
Enumeration Date
2010-07-01
Last Update Date
2021-03-11
Business Address
Dr. TINA M. PORTILLO M.D.
14000 FAIRVIEW DR
BURNSVILLE, MN 55337-5713
Phone number: 952-993-8700
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Mailing Address
Dr. TINA M. PORTILLO M.D.
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number:
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