JUSTIN PAUL PORTA

VISTA, CA
NPI1730576422
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2015-04-20
Last Update Date2015-06-02
Business Address
-- JUSTIN PAUL PORTA ATC, CSCS
333 N EMERALD DR APT 77
VISTA, CA 92083-6156
Phone number: 513-503-3873
Mailing Address
-- JUSTIN PAUL PORTA ATC, CSCS
333 N EMERALD DR APT 77
VISTA, CA 92083-6156
Phone number: 513-503-3873
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