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1962744383
BRYAN PORTERFIELD
SAN DIEGO, CA
NPI
1962744383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 68697)
Enumeration Date
2013-03-24
Last Update Date
2013-03-24
Business Address
Mr. BRYAN PORTERFIELD PharmD
6623 MONTEZUMA RD APT 74
SAN DIEGO, CA 92115-2838
Phone number: 336-212-0933
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Mailing Address
Mr. BRYAN PORTERFIELD PharmD
6623 MONTEZUMA RD APT 74
SAN DIEGO, CA 92115-2838
Phone number: 336-212-0933
Copy
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