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1790308013
JORGE MARTIN
LYNWOOD, CA
NPI
1790308013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106H00000X Marriage & Family Therapist
Enumeration Date
2020-05-20
Last Update Date
2022-01-14
Business Address
JORGE MARTIN
2640 INDUSTRY WAY
LYNWOOD, CA 90262-4284
Phone number: 310-627-4525
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Mailing Address
JORGE MARTIN
1926 BEVERLY BLVD
LOS ANGELES, CA 90057-2402
Phone number: 213-353-1140
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