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1669517652
MARTIN LOPEZ
FRESNO, CA
NPI
1669517652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C8291214)
Enumeration Date
2007-02-20
Last Update Date
2017-01-18
Business Address
Mr. MARTIN LOPEZ
2302 S MARTIN L KING JR BLVD
FRESNO, CA 93706-4135
Phone number: 559-442-0400
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Mailing Address
Mr. MARTIN LOPEZ
2302 S MARTIN L KING JR BLVD
FRESNO, CA 93706-4135
Phone number: 559-442-0400
Copy
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