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1255757316
MARK ANTHONY MARQUEZ
CHULA VISTA, CA
NPI
1255757316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-03-13
Last Update Date
2014-03-13
Business Address
-- MARK ANTHONY MARQUEZ
447 BERLAND WAY
CHULA VISTA, CA 91910-6422
Phone number: 619-559-8276
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Mailing Address
-- MARK ANTHONY MARQUEZ
447 BERLAND WAY
CHULAVISTA, CA 91910
Phone number: 619-559-8276
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