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1972963205
ALFONSO MARTINEZ
PENDLETON, OR
NPI
1972963205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-02-29
Last Update Date
2016-02-29
Business Address
-- ALFONSO MARTINEZ
17 SW FRAZER AVE STE 282
PENDLETON, OR 97801-0048
Phone number: 541-278-6330
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Mailing Address
-- ALFONSO MARTINEZ
17 SW FRAZER AVE STE 282
PENDLETON, OR 97801-0048
Phone number: 541-278-6330
Copy
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