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Individual

LORENZO MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5202 FREEWAY PARK DR, RIVERDALE, UT 84405-4016
(801) 255-5131
Mailing address
6013 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220
(801) 255-5131

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/17/2016
Last updated
10/17/2016
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