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1811463821
JEREMY BRYCE MARTIN
MARQUETTE, MI
NPI
1811463821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2018-10-17
Last Update Date
2018-10-17
Business Address
JEREMY BRYCE MARTIN
241 WRIGHT ST
MARQUETTE, MI 49855-1955
Phone number: 906-228-7611
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Mailing Address
JEREMY BRYCE MARTIN
97 S 4TH ST STE C
ISHPEMING, MI 49849-2168
Phone number: 906-228-9699
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