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1184508012
LUIS ENRIQUE MARTINEZ
RUSSELLVILLE, AR
NPI
1184508012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2025-08-04
Last Update Date
2025-08-04
Business Address
LUIS ENRIQUE MARTINEZ
110 SKYLINE DR
RUSSELLVILLE, AR 72801-3362
Phone number: 479-968-1298
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Mailing Address
LUIS ENRIQUE MARTINEZ
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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