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1386274819
PORTIA OFORI SHORE
TARZANA, CA
NPI
1386274819
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Former Name
PORTIA OFORIAMPOFO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95013736)
Enumeration Date
2020-01-23
Last Update Date
2021-10-25
Business Address
PORTIA OFORI SHORE Nurse Practitioner
18370 BURBANK BLVD STE 514
TARZANA, CA 91356-2837
Phone number: 818-776-0660
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Mailing Address
PORTIA OFORI SHORE Nurse Practitioner
17328 VENTURA BLVD # 108
ENCINO, CA 91316-3904
Phone number:
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