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1003946880
MIKE MARQUEZ
VISALIA, CA
NPI
1003946880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
-- MIKE MARQUEZ
1646 S COURT ST
VISALIA, CA 93277-4962
Phone number: 559-625-8890
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Mailing Address
-- MIKE MARQUEZ
106 E WALNUT AVE
VISALIA, CA 93277-5455
Phone number:
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