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1548498637
SAMUEL PORTIS
CLEVELAND, OH
NPI
1548498637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN . 098528)
Enumeration Date
2009-06-26
Last Update Date
2009-06-26
Business Address
Mr. SAMUEL PORTIS LPN
3449 E 108TH ST
CLEVELAND, OH 44104-5647
Phone number: 216-374-8646
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Mailing Address
Mr. SAMUEL PORTIS LPN
3449 E 108TH ST
CLEVELAND, OH 44104-5647
Phone number: 216-374-8646
Copy
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