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1114415965
KEVIN MARTE SUMMERIZE
ST AUGUSTINE, FL
NPI
1114415965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2018-04-27
Last Update Date
2018-12-05
Business Address
KEVIN MARTE SUMMERIZE
3574 US 1 S STE 101-104
ST AUGUSTINE, FL 32086-6466
Phone number: 904-217-7161
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Mailing Address
KEVIN MARTE SUMMERIZE
3574 US 1 S STE 101-104
ST AUGUSTINE, FL 32086-6466
Phone number: 904-217-7161
Copy
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