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1659931004
KIMBERLY PORTILLO
FULLERTON, CA
NPI
1659931004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-06-18
Last Update Date
2019-06-18
Business Address
KIMBERLY PORTILLO
505 E COMMONWEALTH AVE
FULLERTON, CA 92832-4009
Phone number: 714-773-0077
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Mailing Address
KIMBERLY PORTILLO
1435 N HARBOR BLVD # 124
FULLERTON, CA 92835-4105
Phone number: 714-773-0077
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