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1750112611
DANIEL MARTIN
SAN PEDRO, CA
NPI
1750112611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1573200824)
Enumeration Date
2024-08-12
Last Update Date
2024-08-12
Business Address
DANIEL MARTIN
270 W 14TH ST
SAN PEDRO, CA 90731-4396
Phone number: 310-519-8723
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Mailing Address
DANIEL MARTIN
9823 WALNUT ST APT W9
BELLFLOWER, CA 90706-5958
Phone number: 562-347-0900
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