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1255638615
FRED W MARTINEZ
SALT LAKE CITY, UT
NPI
1255638615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 132199-3503)
Enumeration Date
2011-02-22
Last Update Date
2011-02-22
Business Address
Mr. FRED W MARTINEZ ssw
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
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Mailing Address
Mr. FRED W MARTINEZ ssw
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
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