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1053043976
JIMMY MARTINEZ
INDIO, CA
NPI
1053043976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-06-29
Last Update Date
2022-06-29
Business Address
JIMMY MARTINEZ
83844 HOPI AVE
INDIO, CA 92203-2638
Phone number: 760-347-9442
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Mailing Address
JIMMY MARTINEZ
83844 HOPI AVE
INDIO, CA 92203-2638
Phone number: 760-347-9442
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