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1194154203
JUDY MARTINEZ
GALLUP, NM
NPI
1194154203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM M-08597)
Enumeration Date
2013-11-08
Last Update Date
2014-12-19
Business Address
-- JUDY MARTINEZ
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
-- JUDY MARTINEZ
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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