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1215409941
IVAN MARTIN
EL CENTRO, CA
NPI
1215409941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 701236)
Enumeration Date
2018-12-19
Last Update Date
2018-12-19
Business Address
IVAN MARTIN
200 S 5TH ST
EL CENTRO, CA 92243-3013
Phone number: 760-482-0864
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Mailing Address
IVAN MARTIN
173 DRIFTWOOD DR
EL CENTRO, CA 92243-4593
Phone number:
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