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1497879456
EUGENE PORTIS
VAN NUYS, CA
NPI
1497879456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
-- EUGENE PORTIS
6305 WOODMAN AVE
VAN NUYS, CA 91401-2346
Phone number: 818-908-4999
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Mailing Address
-- EUGENE PORTIS
5255 RIVERTON AVE
NORTH HOLLYWOOD, CA 91601-5544
Phone number: 818-331-0943
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