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1396839775
MARY S MARTINEZ
RUIDOSO, NM
NPI
1396839775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM 97-312)
Enumeration Date
2006-10-03
Last Update Date
2016-03-24
Business Address
MARY S MARTINEZ MD
121 EL PASO RD LINCOLN COUNTY MEDICAL COMPLEX
RUIDOSO, NM 88345-6033
Phone number: 575-630-8350
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Mailing Address
MARY S MARTINEZ MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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