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Individual
VALERIE B MARTIN
Active
Individual
VALERIE B MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0154
ND
363A00000X
Physician Assistant
0342
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5301013
—
SD
Enumeration date
11/13/2006
Last updated
02/21/2017
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