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1649040122
JOSE ANGEL PORTILLO
EL PASO, TX
NPI
1649040122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine
(Licence: TX 2121383)
Enumeration Date
2024-01-04
Last Update Date
2024-01-04
Business Address
MR. JOSE ANGEL PORTILLO
444 EXECUTIVE CENTER BLVD STE 148
EL PASO, TX 79902-1096
Phone number: 903-251-2459
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Mailing Address
MR. JOSE ANGEL PORTILLO
444 EXECUTIVE CENTER BLVD STE 148
EL PASO, TX 79902-1096
Phone number: 903-251-2459
Copy
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