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1346362803
KEVIN F MARTIN
LONG BEACH, CA
NPI
1346362803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
-- KEVIN F MARTIN
2511 LONG BEACH BLVD
LONG BEACH, CA 90806-3111
Phone number: 562-981-1501
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Mailing Address
-- KEVIN F MARTIN
4313 S NORMANDIE AVE
LOS ANGELES, CA 90037-2326
Phone number: 323-810-1942
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