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1003269440
JERRY MARTINEZ
ALTON, TX
NPI
1003269440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: TX 209135)
Enumeration Date
2016-07-21
Last Update Date
2016-07-21
Business Address
-- JERRY MARTINEZ cota
921 E MAIN AVE STE 5
ALTON, TX 78573-1606
Phone number: 956-519-2500
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Mailing Address
-- JERRY MARTINEZ cota
921 E MAIN AVE STE 5
ALTON, TX 78573-1606
Phone number: 956-519-2500
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