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1023211711
EDIN MARTINEZ
GLENDALE, AZ
NPI
1023211711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: AZ 9305)
Enumeration Date
2007-06-08
Last Update Date
2007-08-07
Business Address
MR. EDIN MARTINEZ
5425 N 80TH LN
GLENDALE, AZ 85303-5517
Phone number: 623-872-9122
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Mailing Address
MR. EDIN MARTINEZ
5425 N 80TH LN
GLENDALE, AZ 85303-5517
Phone number: 623-872-9122
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