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1972371227
MILES SAMUEL MARTINEZ
MODESTO, CA
NPI
1972371227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-12-15
Last Update Date
2023-12-15
Business Address
MILES SAMUEL MARTINEZ
609 5TH ST
MODESTO, CA 95351-3316
Phone number: 916-584-7223
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Mailing Address
MILES SAMUEL MARTINEZ
609 5TH ST
MODESTO, CA 95351-3316
Phone number: 916-584-7223
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