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1073124905
GUY MARTIN SHERK
TARZANA, CA
NPI
1073124905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-08-13
Last Update Date
2020-08-13
Business Address
GUY MARTIN SHERK
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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Mailing Address
GUY MARTIN SHERK
345 IVINS RD
FRAZIER PARK, CA 93225-9466
Phone number: 747-265-9715
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