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1972734374
JOSE PORTORREAL
BETHLEHEM, PA
NPI
1972734374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-08-03
Last Update Date
2009-08-03
Business Address
-- JOSE PORTORREAL
865 E 4TH ST
BETHLEHEM, PA 18015-1935
Phone number: 484-221-9136
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Mailing Address
-- JOSE PORTORREAL
2030 W TILGHMAN ST SUITE 105B
ALLENTOWN, PA 18104-4354
Phone number: 484-221-9136
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