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1750711305
SCOTT LUIS MARTIN
COLTON, CA
NPI
1750711305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA23218)
Enumeration Date
2013-11-18
Last Update Date
2013-11-18
Business Address
-- SCOTT LUIS MARTIN PA
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-1000
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Mailing Address
-- SCOTT LUIS MARTIN PA
18846 SANTA BARBARA ST
FOUNTAIN VALLEY, CA 92708-6311
Phone number: 714-401-6385
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