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1558835074
DISERAE MARTINEZ
GALLUP, NM
NPI
1558835074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 884673)
Enumeration Date
2019-01-17
Last Update Date
2019-01-17
Business Address
DISERAE MARTINEZ RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
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Mailing Address
DISERAE MARTINEZ RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
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