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1164555330
GINA MARIE MARTINEZ DIAZ
ELK GROVE, CA
NPI
1164555330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT105043)
Enumeration Date
2007-03-14
Last Update Date
2022-06-07
Business Address
Mrs. GINA MARIE MARTINEZ DIAZ
9201 BIG HORN BLVD
ELK GROVE, CA 95758-1240
Phone number: 916-478-5016
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Mailing Address
Mrs. GINA MARIE MARTINEZ DIAZ
11716 ENTERPRISE DRIVE - CSOC
AUBURN, CA 95603
Phone number: 530-889-6769
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