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1467006809
TAYLOR MARTINEZ
SAN LEANDRO, CA
NPI
1467006809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-07-24
Last Update Date
2019-07-24
Business Address
TAYLOR MARTINEZ
2035 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-346-7833
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Mailing Address
TAYLOR MARTINEZ
10739 DULSIE LN
DUBLIN, CA 94568-5541
Phone number: 925-200-5604
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