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1992282131
CASSIDY MARTINEZ
PORTALES, NM
NPI
1992282131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-07-20
Last Update Date
2018-07-20
Business Address
CASSIDY MARTINEZ
1500 S AVE K STATION 3, SHROC
PORTALES, NM 88130
Phone number: 505-379-6065
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Mailing Address
CASSIDY MARTINEZ
1500 S AVE K STATION 3 SHROC
PORTALES, NM 88130-1007
Phone number: 505-379-6065
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