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1699472266
ROBERTO ANTONIO PORTILLO
LITTLE ROCK, AR
NPI
1699472266
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AR R094202)
Enumeration Date
2023-02-14
Last Update Date
2023-02-14
Business Address
Mr. ROBERTO ANTONIO PORTILLO R.N.
4300 W 7TH ST
LITTLE ROCK, AR 72205-5446
Phone number: 501-257-5115
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Mailing Address
Mr. ROBERTO ANTONIO PORTILLO R.N.
3 CRAPE MYRTLE PL
LITTLE ROCK, AR 72210-5654
Phone number: 501-952-3337
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