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1114105889
STEPHANIE D MARTINEZ
GALLUP, NM
NPI
1114105889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NM R58411)
Enumeration Date
2008-02-05
Last Update Date
2008-02-05
Business Address
-- STEPHANIE D MARTINEZ RN
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
-- STEPHANIE D MARTINEZ RN
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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