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1144513557
OWEN CHARLES MARTIN
NIPOMO, CA
NPI
1144513557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2011-05-18
Last Update Date
2013-10-08
Business Address
MR. OWEN CHARLES MARTIN
860 CAMINO CABALLO
NIPOMO, CA 93444
Phone number: 559-760-6530
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Mailing Address
MR. OWEN CHARLES MARTIN
860 CAMINO CABALLO
NIPOMO, CA 93444
Phone number: 559-760-6530
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