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1588853709
JERRY MARTIN
LOS ANGELES, CA
NPI
1588853709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-24
Last Update Date
2007-10-24
Business Address
Ms. JERRY MARTIN
2918 W VERNON AVE
LOS ANGELES, CA 90008-4757
Phone number: 323-497-8150
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Mailing Address
Ms. JERRY MARTIN
2918 W VERNON AVE
LOS ANGELES, CA 90008-4757
Phone number: 323-497-8150
Copy
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