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CLYDE PORTIS
Lodging Provider
NPI: 1699599035Individual
Specialties, Licenses & Credentials
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Contact & Hours
- Address
- 377 CHARLES MILLER RD
HORNBECK, LA 71439 - Phone
- (346) 435-4892
Quick Facts
- NPI
- 1699599035
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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