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1720392657
CHARLES ANTHONY PORTA
DALY CITY, CA
NPI
1720392657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2010-08-03
Last Update Date
2010-08-04
Business Address
Mr. CHARLES ANTHONY PORTA
375 89TH ST
DALY CITY, CA 94015-1802
Phone number: 650-301-8665
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Mailing Address
Mr. CHARLES ANTHONY PORTA
375 89TH ST
DALY CITY, CA 94015-1802
Phone number: 650-301-8665
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