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1861001216
TOBY MARTIN DISNEY
ANTIOCH, CA
NPI
1861001216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-07-30
Last Update Date
2020-07-30
Business Address
TOBY MARTIN DISNEY
1408 A ST
ANTIOCH, CA 94509-2331
Phone number: 925-978-2873
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Mailing Address
TOBY MARTIN DISNEY
1408 A ST
ANTIOCH, CA 94509-2331
Phone number: 925-978-2873
Copy
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