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1255988648
DANIEL OZOMAHTLI MARTIN
SANTA FE SPRINGS, CA
NPI
1255988648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-08-21
Last Update Date
2019-08-21
Business Address
DANIEL OZOMAHTLI MARTIN
11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670-4601
Phone number: 562-906-2676
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Mailing Address
DANIEL OZOMAHTLI MARTIN
4849 W 94TH ST
INGLEWOOD, CA 90301-3146
Phone number: 310-671-8555
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