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1740552272
JIM CHRISTOPHER MARTINEZ
KALISPELL, MT
NPI
1740552272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: MT 998)
Enumeration Date
2012-01-30
Last Update Date
2012-01-30
Business Address
Mr. JIM CHRISTOPHER MARTINEZ LAC
4880 US HIGHWAY 93 S
KALISPELL, MT 59901-7985
Phone number: 406-857-2506
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Mailing Address
Mr. JIM CHRISTOPHER MARTINEZ LAC
PO BOX 2521
COLUMBIA FALLS, MT 59912-2521
Phone number: 406-885-3607
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