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1891161964
BLAKE MARTINEZ
MUSKEGON, MI
NPI
1891161964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301016267)
Enumeration Date
2015-08-12
Last Update Date
2015-08-12
Business Address
-- BLAKE MARTINEZ M.A.
1148 4TH ST
MUSKEGON, MI 49441-1907
Phone number: 231-726-2299
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Mailing Address
-- BLAKE MARTINEZ M.A.
1148 4TH ST
MUSKEGON, MI 49441-1907
Phone number: 231-726-2299
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