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1568218568
MANUEL MARTINEZ
SAN FERNANDO, CA
NPI
1568218568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 17956)
Enumeration Date
2024-04-29
Last Update Date
2024-04-29
Business Address
MANUEL MARTINEZ
762 GRISWOLD AVE
SAN FERNANDO, CA 91340-2105
Phone number: 747-500-9405
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Mailing Address
MANUEL MARTINEZ
14345 FOOTHILL BLVD UNIT 111
SYLMAR, CA 91342-7677
Phone number: 747-732-4933
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