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1144004771
CHACE EDWARD MARTIN
FRESNO, CA
NPI
1144004771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106E00000X Assistant Behavior Analyst
Enumeration Date
2023-08-23
Last Update Date
2023-08-23
Business Address
CHACE EDWARD MARTIN
4875 N BACKER AVE UNIT 117
FRESNO, CA 93726-7501
Phone number: 559-331-6812
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Mailing Address
CHACE EDWARD MARTIN
4875 N BACKER AVE UNIT 117
FRESNO, CA 93726-7501
Phone number: 559-331-6812
Copy
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