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1104509462
LANGDON TYRONE MARTIN
EUREKA, CA
NPI
1104509462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-08-11
Last Update Date
2023-08-11
Business Address
Mr. LANGDON TYRONE MARTIN
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
Mr. LANGDON TYRONE MARTIN
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
Copy
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