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1346052685
JUAN MANUEL MARTINEZ
VANCOUVER, WA
NPI
1346052685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61506660)
Enumeration Date
2025-01-23
Last Update Date
2025-01-23
Business Address
Mr. JUAN MANUEL MARTINEZ SUDPT
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661-7254
Phone number: 360-993-3000
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Mailing Address
Mr. JUAN MANUEL MARTINEZ SUDPT
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661-7254
Phone number: 360-993-3000
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