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Individual
ADAM CHRISTOPHER MARTIN
Active
Individual
ADAM CHRISTOPHER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1617-650T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1617-650T
STATE LICENSE
LA
Enumeration date
07/26/2011
Last updated
03/04/2014
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