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1144231325
JOE R MARTIN
MERIDIAN, MS
NPI
1144231325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MS R853128)
Enumeration Date
2006-08-11
Last Update Date
2007-07-08
Business Address
-- JOE R MARTIN CRNA
2124 14TH ST
MERIDIAN, MS 39301-4040
Phone number: 601-553-6000
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Mailing Address
-- JOE R MARTIN CRNA
7925A VAN ZYVERDEN RD
MERIDIAN, MS 39305-9124
Phone number: 601-679-9849
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