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1154641405
ALLEN R MARTINEZ
TAOS, NM
NPI
1154641405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2010-06-09
Last Update Date
2016-02-03
Business Address
-- ALLEN R MARTINEZ BMS Coordinator
314 DON FERNANDO ST
TAOS, NM 87571-5953
Phone number: 575-751-7037
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Mailing Address
-- ALLEN R MARTINEZ BMS Coordinator
314 DON FERNANDO ST
TAOS, NM 87571-5953
Phone number: 575-751-7037
Copy
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