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Carlos Portalatin

Non-licensedLicense GA-2021-8248
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Provider Information

First Name
Carlos
Last Name
Portalatin
License Number
GA-2021-8248
License Prefix
GA
Provider Type
Non-licensed
Status
Not listed
County
Not listed
State
GA
GEMSIS ID
faa2d0ee-5653-43d5-ad4f-cf7ac3f39fae

Grade

Grade not yet available.
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