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1154397651
GUSTAVO R MARTINEZ
EL PASO, TX
NPI
1154397651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 01545)
Enumeration Date
2006-02-24
Last Update Date
2009-11-14
Business Address
-- GUSTAVO R MARTINEZ
814 MYRTLE AVE
EL PASO, TX 79901-1512
Phone number: 915-241-7272
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Mailing Address
-- GUSTAVO R MARTINEZ
814 MYRTLE AVE
EL PASO, TX 79901-1512
Phone number: 915-241-7272
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