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1710140033
DAWN ELYSE PORTNER
LOS ANGELES, CA
NPI
1710140033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 221093)
Enumeration Date
2008-07-07
Last Update Date
2008-07-07
Business Address
-- DAWN ELYSE PORTNER RN, PHN
1125 W 6TH ST
LOS ANGELES, CA 90017-1833
Phone number: 213-202-3970
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Mailing Address
-- DAWN ELYSE PORTNER RN, PHN
120 19TH ST
MANHATTAN BEACH, CA 90266-4509
Phone number:
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