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1881209880
VICTOR PORTILLO
MADERA, CA
NPI
1881209880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2020-09-15
Last Update Date
2020-09-15
Business Address
Mr. VICTOR PORTILLO
21724 ROAD 30
MADERA, CA 93638-8005
Phone number: 209-631-8435
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Mailing Address
Mr. VICTOR PORTILLO
21724 ROAD 30
MADERA, CA 93638-8005
Phone number: 209-631-8435
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