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1720570930
JOSEPH PORTELLI MATTHEW PORTELLI
LIVONIA, MI
NPI
1720570930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-06-04
Last Update Date
2018-06-04
Business Address
JOSEPH PORTELLI MATTHEW PORTELLI
37450 SCHOOLCRAFT RD STE 110
LIVONIA, MI 48150-1000
Phone number: 734-458-4601
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Mailing Address
JOSEPH PORTELLI MATTHEW PORTELLI
41723 GLADE RD
CANTON, MI 48187-3773
Phone number: 734-377-1731
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