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1285813196
MICHAEL CHARLES MARTIN
EL CAJON, CA
NPI
1285813196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-26
Last Update Date
2007-10-26
Business Address
-- MICHAEL CHARLES MARTIN
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-442-0277
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Mailing Address
-- MICHAEL CHARLES MARTIN
3540 MOUNT EVEREST BLVD
SAN DIEGO, CA 92111-3940
Phone number: 619-252-1495
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