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Individual

GABRIEL MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1167 ROSAS ST, CALEXICO, CA 92231-1968
(760) 335-8620
Mailing address
1167 ROSAS ST, CALEXICO, CA 92231-1968
(760) 335-8623

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
D3558932
CA

Other

Enumeration date
04/24/2019
Last updated
04/24/2019
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