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1427710789
KENNETH O. PORTES
SACRAMENTO, CA
NPI
1427710789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95208847)
Enumeration Date
2021-10-13
Last Update Date
2021-10-13
Business Address
KENNETH O. PORTES RN
4378 AUBURN BLVD
SACRAMENTO, CA 95841-4175
Phone number: 279-348-7200
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Mailing Address
KENNETH O. PORTES RN
4378 AUBURN BLVD
SACRAMENTO, CA 95841-4175
Phone number: 279-348-7200
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