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1932337847
JOE PORTILLO
COVINA, CA
NPI
1932337847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2009-06-30
Last Update Date
2009-06-30
Business Address
-- JOE PORTILLO
1126 N GRAND AVE
COVINA, CA 91724-1551
Phone number: 626-967-1667
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Mailing Address
-- JOE PORTILLO
608 S MERIDIAN AVE
ALHAMBRA, CA 91803-1207
Phone number:
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