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Individual

MR. MARTIN ALEXANDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CASE MANAGER

Contact information

Practice address
220 4TH AVE, RATON, NM 87740-2643
(505) 445-2754
(505) 445-2225
Mailing address
1412 WALLACE ST, CLOVIS, NM 88101-4722
(505) 762-4860

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
05/22/2007
Last updated
07/08/2007
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