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1770615544
ANTONIO HARVEY MARTIN
ALTADENA, CA
NPI
1770615544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-09
Last Update Date
2016-03-09
Business Address
ANTONIO HARVEY MARTIN
865 ALAMEDA ST # 3
ALTADENA, CA 91001-2440
Phone number: 626-463-8776
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Mailing Address
ANTONIO HARVEY MARTIN
865 ALAMEDA ST # 3
ALTADENA, CA 91001-2440
Phone number: 626-463-8776
Copy
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