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1992089320
WENCESLAO MARTINEZ
COLTON, CA
NPI
1992089320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-10-04
Last Update Date
2011-10-04
Business Address
Mr. WENCESLAO MARTINEZ
1076 SANTO ANTONIO DR SUIT B
COLTON, CA 92324-8103
Phone number: 909-433-9824
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Mailing Address
Mr. WENCESLAO MARTINEZ
1076 SANTO ANTONIO DR SUIT B
COLTON, CA 92324-8103
Phone number: 909-433-9824
Copy
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