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1265212088
MYRA R MARTINEZ
SANTO DOMINGO PUEBLO, NM
NPI
1265212088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NM LPN-21886)
Enumeration Date
2023-09-29
Last Update Date
2023-09-29
Business Address
MYRA R MARTINEZ RN
85 WEST HWY 22
SANTO DOMINGO PUEBLO, NM 87052
Phone number: 505-465-3060
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Mailing Address
MYRA R MARTINEZ RN
PO BOX 340
SANTO DOMINGO PUEBLO, NM 87052-0340
Phone number: 505-465-3060
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