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1861911406
MICHAEL DWAYNE MARTIN
COLUMBUS, OH
NPI
1861911406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-09-14
Last Update Date
2017-09-14
Business Address
MICHAEL DWAYNE MARTIN BA, MMin
16 W LONG ST
COLUMBUS, OH 43215-2815
Phone number: 614-225-0980
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Mailing Address
MICHAEL DWAYNE MARTIN BA, MMin
247 MERCHANT ST
NEWARK, OH 43055-4407
Phone number: 614-657-8801
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