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1295712875
M MARTIA GLASS
SHIPROCK, NM
NPI
1295712875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM 81204)
Enumeration Date
2005-12-27
Last Update Date
2007-12-26
Business Address
-- M MARTIA GLASS MD
US HWY 491 N
SHIPROCK, NM 87420
Phone number: 505-368-6401
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Mailing Address
-- M MARTIA GLASS MD
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6401
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