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1346300043
MARK KEVIN MARTIN
LONG BEACH, CA
NPI
1346300043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
MR. MARK KEVIN MARTIN
1975 LONG BEACH BLVD
LONG BEACH, CA 90806-5501
Phone number: 562-218-4091
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Mailing Address
MR. MARK KEVIN MARTIN
12771 MARTHA ANN DR
LOS ALAMITOS, CA 90720-4921
Phone number: 562-430-2178
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