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1164058533
EMMANEIL MARTIN
LEMON GROVE, CA
NPI
1164058533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-03-18
Last Update Date
2020-03-18
Business Address
EMMANEIL MARTIN
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-466-9274
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Mailing Address
EMMANEIL MARTIN
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number:
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