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1487944047
CHALICE J MARTINEZ
RIDGELAND, MS
NPI
1487944047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2083X0100X Preventive Medicine Occupational Medicine
(Licence: AR OT1682)
Enumeration Date
2011-04-15
Last Update Date
2011-04-15
Business Address
CHALICE J MARTINEZ OT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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Mailing Address
CHALICE J MARTINEZ OT
7404 MILLENNIUM DR
FORT SMITH, AR 72916-8834
Phone number: 479-649-3983
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