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1265442487
JOHNNY MARTIN
ALAMOGORDO, NM
NPI
1265442487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I-3203)
Enumeration Date
2006-08-09
Last Update Date
2007-07-08
Business Address
-- JOHNNY MARTIN LISW
1900 10TH ST
ALAMOGORDO, NM 88310-5053
Phone number: 505-437-7404
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Mailing Address
-- JOHNNY MARTIN LISW
1900 10TH ST
ALAMOGORDO, NM 88310-5053
Phone number: 505-437-7404
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