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1942496187
RAFAEL JORGE PORTILLA
HARRISBURG, PA
NPI
1942496187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-09-21
Last Update Date
2007-09-21
Business Address
Mr. RAFAEL JORGE PORTILLA M.A.
1100 S CAMERON ST
HARRISBURG, PA 17104-2547
Phone number: 717-238-7662
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Mailing Address
Mr. RAFAEL JORGE PORTILLA M.A.
1100 S CAMERON ST
HARRISBURG, PA 17104-2547
Phone number: 717-238-7662
Copy
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