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1366693004
SOPHINA MAE MARTIN
TOHATCHI, NM
NPI
1366693004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2008-09-30
Last Update Date
2008-09-30
Business Address
-- SOPHINA MAE MARTIN DA
07 CHOOSGAI DRIVE
TOHATCHI, NM 87325
Phone number: 505-733-8440
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Mailing Address
-- SOPHINA MAE MARTIN DA
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-733-8440
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