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1063112134
GUSTAVO R MARTINEZ
PALMDALE, CA
NPI
1063112134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2023-03-07
Last Update Date
2023-06-14
Business Address
GUSTAVO R MARTINEZ
1529 E PALMDALE BLVD STE 210
PALMDALE, CA 93550-2029
Phone number: 323-652-2354
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Mailing Address
GUSTAVO R MARTINEZ
1910 MAGNOLIA AVE
LOS ANGELES, CA 90007-1220
Phone number:
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