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1477843910
TIMOTHY W. MARTIN
YUCCA VALLEY, CA
NPI
1477843910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-04-18
Last Update Date
2011-04-18
Business Address
-- TIMOTHY W. MARTIN
55475 SANTA FE TRL
YUCCA VALLEY, CA 92284-3117
Phone number: 760-365-3022
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Mailing Address
-- TIMOTHY W. MARTIN
55475 SANTA FE TRL
YUCCA VALLEY, CA 92284-3117
Phone number:
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