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1528764644
LISA M MARTINEZ
NEW MARTINSVILLE, WV
NPI
1528764644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN5199661)
Enumeration Date
2023-01-31
Last Update Date
2023-01-31
Business Address
LISA M MARTINEZ
411 N, WV-2
NEW MARTINSVILLE, WV 26155
Phone number: 204-455-5515
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Mailing Address
LISA M MARTINEZ
PO BOX 716
NEW MARTINSVILLE, WV 26155-0716
Phone number: 304-455-5515
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