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1366742074
JACOB ALBERT MARTINEZ
LAS CRUCES, NM
NPI
1366742074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM 4714)
Enumeration Date
2010-10-27
Last Update Date
2010-10-27
Business Address
Mr. JACOB ALBERT MARTINEZ MA, CCC-SLP
4441 E LOHMAN AVE
LAS CRUCES, NM 88011-8267
Phone number: 575-202-2713
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Mailing Address
Mr. JACOB ALBERT MARTINEZ MA, CCC-SLP
2020 SAN PATRICIO LOOP
LAS CRUCES, NM 88011-4203
Phone number: 575-202-2713
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