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1477391795
DEBORAH PORTILLO ANGEL
SAN BERNARDINO, CA
NPI
1477391795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-07-19
Last Update Date
2024-07-22
Business Address
DEBORAH PORTILLO ANGEL RADT-I
1115 N D ST
SAN BERNARDINO, CA 92410-3523
Phone number: 909-888-6956
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Mailing Address
DEBORAH PORTILLO ANGEL RADT-I
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-888-6956
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