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1336569284
AMERICA PORTILLO
GARDEN GROVE, CA
NPI
1336569284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-04-18
Last Update Date
2014-04-18
Business Address
-- AMERICA PORTILLO
7281 GARDEN GROVE BLVD STE H
GARDEN GROVE, CA 92841-4212
Phone number: 714-914-0515
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Mailing Address
-- AMERICA PORTILLO
835 W STEVENS AVE APT 11
SANTA ANA, CA 92707-5033
Phone number: 714-914-0515
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