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1871971739
FREDICK MARTINEZ
PASADENA, CA
NPI
1871971739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2015-05-12
Last Update Date
2021-02-24
Business Address
FREDICK MARTINEZ
50 N HILL AVE
PASADENA, CA 91106-1949
Phone number: 714-249-8095
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Mailing Address
FREDICK MARTINEZ
50 N HILL AVE
PASADENA, CA 91106-1949
Phone number:
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