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Individual

AUGUSTINE MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LDO

Contact information

Practice address
6150 S 35TH AVE, PHOENIX, AZ 85041-5004
(602) 243-8523
Mailing address
6150 S 35TH AVE, PHOENIX, AZ 85041-5004

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO-003352
AZ

Other

Enumeration date
04/01/2025
Last updated
04/01/2025
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