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1780129015
JACKIE MARTINEZ
ROSEVILLE, CA
NPI
1780129015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-12-22
Last Update Date
2017-01-05
Business Address
-- JACKIE MARTINEZ
730 SUNRISE AVE STE 200
ROSEVILLE, CA 95661-4549
Phone number: 916-782-3737
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Mailing Address
-- JACKIE MARTINEZ
730 SUNRISE AVE STE 200
ROSEVILLE, CA 95661-4549
Phone number: 916-782-3737
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