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1518098599
ROBERT L PORTILLO
SANTA MONICA, CA
NPI
1518098599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: CA E1381)
Enumeration Date
2007-03-08
Last Update Date
2008-02-01
Business Address
Dr. ROBERT L PORTILLO D.P.M.
1304 15TH ST SUITE 218
SANTA MONICA, CA 90404-1809
Phone number: 310-319-0029
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Mailing Address
Dr. ROBERT L PORTILLO D.P.M.
1304 15TH ST SUITE 218
SANTA MONICA, CA 90404-1809
Phone number: 310-319-0029
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