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1861220113
VINCENT MICHEAL MARTINEZ
LODI, CA
NPI
1861220113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-07-26
Last Update Date
2024-07-26
Business Address
VINCENT MICHEAL MARTINEZ
1111 W TOKAY ST
LODI, CA 95240-3965
Phone number: 209-800-9638
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Mailing Address
VINCENT MICHEAL MARTINEZ
1111 W TOKAY ST
LODI, CA 95240-3965
Phone number: 209-800-9638
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