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1124845078
GERARDO MARTINEZ
DECATUR, GA
NPI
1124845078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 984164)
Enumeration Date
2024-09-23
Last Update Date
2024-09-23
Business Address
GERARDO MARTINEZ
406 S COLUMBIA DR UNIT B
DECATUR, GA 30030-4111
Phone number: 806-206-5635
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Mailing Address
GERARDO MARTINEZ
406 S COLUMBIA DR UNIT B
DECATUR, GA 30030-4111
Phone number: 806-206-5635
Copy
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