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1891546156
PETER CARLOS MARTIN
JACKSON, MS
NPI
1891546156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-27
Last Update Date
2024-03-27
Business Address
PETER CARLOS MARTIN
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-572-1225
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Mailing Address
PETER CARLOS MARTIN
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-572-1225
Copy
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