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1366761702
MICHAEL MARTIN
VICTORVILLE, CA
NPI
1366761702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: 35430)
Enumeration Date
2010-05-25
Last Update Date
2010-05-25
Business Address
-- MICHAEL MARTIN LPT
16460 VICTOR ST
VICTORVILLE, CA 92395-3918
Phone number: 760-245-8837
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Mailing Address
-- MICHAEL MARTIN LPT
16460 VICTOR ST
VICTORVILLE, CA 92395-3918
Phone number: 760-245-8837
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