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1841421864
EDWIN PORRES
PACOIMA, CA
NPI
1841421864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-08-07
Last Update Date
2013-05-15
Business Address
-- EDWIN PORRES
12450 VAN NUYS BLVD SUITE 200
PACOIMA, CA 91331-1391
Phone number: 818-896-1161
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Mailing Address
-- EDWIN PORRES
1625 GLENDON AVE APT 6B
LOS ANGELES, CA 90024-6841
Phone number: 310-435-3288
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