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1922376771
KEITH ERIC MARTIN
LOS ANGELES, CA
NPI
1922376771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2011-12-08
Last Update Date
2011-12-08
Business Address
Mr. KEITH ERIC MARTIN MSW
2491 PURDUE AVE 213
LOS ANGELES, CA 90064-3046
Phone number: 310-927-0199
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Mailing Address
Mr. KEITH ERIC MARTIN MSW
2491 PURDUE AVE. #213
LOS ANGELES, CA 90064-5119
Phone number: 310-927-0199
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