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1326468034
MICHAEL ANGELO PORTER
SPRING VALLEY, CA
NPI
1326468034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-04-21
Last Update Date
2014-04-21
Business Address
-- MICHAEL ANGELO PORTER
3648 S BONITA ST.
SPRING VALLEY, CA 91977
Phone number: 619-995-1970
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Mailing Address
-- MICHAEL ANGELO PORTER
3648 S BONITA ST.
SPRING VALLEY, CA 91977
Phone number: 619-995-1970
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