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1700542701
JESSICA MARTINEZ
FARMINGTON, NM
NPI
1700542701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM PA2022-0037)
Enumeration Date
2021-11-14
Last Update Date
2024-11-12
Business Address
JESSICA MARTINEZ MPAS
801 W MAPLE ST
FARMINGTON, NM 87401-5630
Phone number: 505-609-2000
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Mailing Address
JESSICA MARTINEZ MPAS
PO BOX 844088
DALLAS, TX 75284-4088
Phone number: 505-609-2258
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