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1073947685
MARSHALL J MARMOLEJO
BLOOMINGTON, CA
NPI
1073947685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-08-30
Last Update Date
2013-08-30
Business Address
-- MARSHALL J MARMOLEJO
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2636
Phone number: 909-421-7120
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Mailing Address
-- MARSHALL J MARMOLEJO
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2636
Phone number: 909-421-7120
Copy
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