Individual
GAIL L MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 6TH ST, BEAVER CITY, NE 68926-2842
(308) 655-0527
Mailing address
1015 6TH ST, BEAVER CITY, NE 68926-2842
(308) 655-0527
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
H14025366
NE
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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