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1609285063
KATHRYN PORTILLA
CHICO, CA
NPI
1609285063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 39834)
Enumeration Date
2014-08-10
Last Update Date
2014-08-10
Business Address
-- KATHRYN PORTILLA
188 COHASSET LN
CHICO, CA 95926-2206
Phone number: 530-345-1306
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Mailing Address
-- KATHRYN PORTILLA
14314 E FOX LAKE RD
DETROIT LAKES, MN 56501-7112
Phone number: 701-212-6722
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