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1356718654
JACOB ANTHONY MARTINEZ
FRESNO, CA
NPI
1356718654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A8253973)
Enumeration Date
2015-08-21
Last Update Date
2015-08-21
Business Address
-- JACOB ANTHONY MARTINEZ
7485 N PALM AVE STE 103
FRESNO, CA 93711-5764
Phone number: 559-221-8100
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Mailing Address
-- JACOB ANTHONY MARTINEZ
7485 N PALM AVE STE 103
FRESNO, CA 93711-5764
Phone number: 559-221-8100
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