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1083804082
MARTIN MANUEL MARTINEZ
OAKLAND, CA
NPI
1083804082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 61023)
Enumeration Date
2007-07-26
Last Update Date
2007-07-26
Business Address
Mr. MARTIN MANUEL MARTINEZ
1319 FRUITVALE AVE
OAKLAND, CA 94601-2927
Phone number: 510-535-2303
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Mailing Address
Mr. MARTIN MANUEL MARTINEZ
1319 FRUITVALE AVE
OAKLAND, CA 94601-2927
Phone number: 510-535-2303
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