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1568989192
JOHANNA PORTILLO
GLENDALE, CA
NPI
1568989192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2017-08-24
Last Update Date
2017-08-24
Business Address
JOHANNA PORTILLO B.A.
920 E BROADWAY
GLENDALE, CA 91205-1204
Phone number: 818-242-9681
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Mailing Address
JOHANNA PORTILLO B.A.
920 E BROADWAY
GLENDALE, CA 91205-1204
Phone number: 818-242-9681
Copy
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