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1487850822
LARRY J MARTIN
GRAND LEDGE, MI
NPI
1487850822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801059535)
Enumeration Date
2007-06-22
Last Update Date
2007-07-08
Business Address
Dr. LARRY J MARTIN Ph.D.
6736 WILLOW HWY
GRAND LEDGE, MI 48837-8974
Phone number: 517-622-0054
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Mailing Address
Dr. LARRY J MARTIN Ph.D.
6736 WILLOW HWY
GRAND LEDGE, MI 48837-8974
Phone number: 517-622-0054
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