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1508984550
MARY PORTILLOS
PUEBLO, CO
NPI
1508984550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
-- MARY PORTILLOS LPN
1012 W ABRIENDO AVE
PUEBLO, CO 81004-1128
Phone number: 719-545-2746
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Mailing Address
-- MARY PORTILLOS LPN
1012 W ABRIENDO AVE
PUEBLO, CO 81004-1128
Phone number: 719-545-2746
Copy
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