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1851121537
MICHAEL PORRELLO
GRASS VALLEY, CA
NPI
1851121537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2024-08-06
Last Update Date
2024-08-07
Business Address
MICHAEL PORRELLO
10220 MCCOURTNEY RD. SUITE A
GRASS VALLEY, CA 95949
Phone number: 530-478-0900
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Mailing Address
MICHAEL PORRELLO
10220 MCCOURTNEY RD. SUITE A
GRASS VALLEY, CA 95949
Phone number:
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