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Individual

MILDRED MARTINEZ-SANTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
24276 AIRPORT ROAD, EAGLE BUTTE, SD 57625
(605) 964-7724
(605) 964-1156
Mailing address
PO BOX 827, EAGLE BUTTE, SD 57625-0827

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9194913
FL

Other

Enumeration date
11/27/2017
Last updated
06/16/2018
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