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1073229357
DESMOND MARTINEZ
WICHITA, KS
NPI
1073229357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WC0200X Registered Nurse Critical Care Medicine
(Licence: KS 150928)
Enumeration Date
2023-01-30
Last Update Date
2023-01-30
Business Address
DESMOND MARTINEZ
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-685-2221
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Mailing Address
DESMOND MARTINEZ
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-685-2221
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