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1578994182
BRIAN PORTE
LAS VEGAS, NV
NPI
1578994182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-12-06
Last Update Date
2013-12-06
Business Address
Mr. BRIAN PORTE
10834 BRUMANA CT
LAS VEGAS, NV 89141-3893
Phone number: 702-405-6457
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Mailing Address
Mr. BRIAN PORTE
10834 BRUMANA CT
LAS VEGAS, NV 89141-3893
Phone number: 702-405-6457
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