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1467168120
DEREK MARTIN
LOS ANGELES, CA
NPI
1467168120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 494411)
Enumeration Date
2023-01-26
Last Update Date
2023-01-31
Business Address
DEREK MARTIN
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008-1821
Phone number: 323-751-3026
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Mailing Address
DEREK MARTIN
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008-1821
Phone number: 323-751-3026
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