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1437403649
BRUCE WAYLAND MARTIN
ESCONDIDO, CA
NPI
1437403649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RW4751)
Enumeration Date
2012-11-09
Last Update Date
2012-11-09
Business Address
Mr. BRUCE WAYLAND MARTIN RRW
200 E WASHINGTON AVE
ESCONDIDO, CA 92025-1806
Phone number: 760-741-7708
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Mailing Address
Mr. BRUCE WAYLAND MARTIN RRW
200 E WASHINGTON AVE
ESCONDIDO, CA 92025-1806
Phone number: 760-741-7708
Copy
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