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1255828646
MARTINA JONES MADDOX
SAN DIEGO, CA
NPI
1255828646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2018-04-20
Last Update Date
2018-04-20
Business Address
MARTINA JONES MADDOX IDC
857 16TH ST
SAN DIEGO, CA 92154-1917
Phone number: 909-730-6756
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Mailing Address
MARTINA JONES MADDOX IDC
857 16TH ST
SAN DIEGO, CA 92154-1917
Phone number: 909-730-6756
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