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1952021123
MICHAEL KEVIN MARTIN
FRESNO, CA
NPI
1952021123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
Mr. MICHAEL KEVIN MARTIN
6760 N WEST AVE STE 101
FRESNO, CA 93711-1396
Phone number: 866-523-4286
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Mailing Address
Mr. MICHAEL KEVIN MARTIN
DEPT LA 22763
PASADENA, CA 91185-2763
Phone number: 866-523-4268
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