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1356899975
ALFONSO BENJAMIN MARTINEZ
ALBUQUERQUE, NM
NPI
1356899975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NM CNP-03046)
Enumeration Date
2016-09-12
Last Update Date
2018-07-09
Business Address
MR. ALFONSO BENJAMIN MARTINEZ FNP-BC
1518 GIRARD BLVD NE
ALBUQUERQUE, NM 87106-6908
Phone number: 505-266-3835
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Mailing Address
MR. ALFONSO BENJAMIN MARTINEZ FNP-BC
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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