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1154041499
HAROLD MARTIN
GOODYEAR, AZ
NPI
1154041499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 229049)
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
HAROLD MARTIN
546 S 167TH LN
GOODYEAR, AZ 85338-4554
Phone number: 314-475-8535
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Mailing Address
HAROLD MARTIN
546 S 167TH LN
GOODYEAR, AZ 85338-4554
Phone number:
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