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1558507772
CHARLENE A PORTMAN
CLEARWATER, FL
NPI
1558507772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: FL ma32312)
Enumeration Date
2008-12-17
Last Update Date
2008-12-17
Business Address
Miss CHARLENE A PORTMAN LMT
754 N BELCHER RD
CLEARWATER, FL 33765-2138
Phone number: 727-410-9770
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Mailing Address
Miss CHARLENE A PORTMAN LMT
754 N BELCHER RD
CLEARWATER, FL 33765-2138
Phone number: 727-410-9770
Copy
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